Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,862.09 / $6,025.60	Facility		$208.93	$1,862.09	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $407.38	Professional		$97.72	$169.82	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $257.04	Professional		$93.33	$162.18	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $338.84	Professional		$125.89	$190.55	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $316.23	Professional		$144.54	$208.93	$316.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $776.25	Professional		$165.96	$245.47	$776.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $1,174.90	Professional		$223.87	$346.74	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $323.59	Professional		$151.36	$229.09	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $338.84	Professional		$141.25	$204.17	$338.84