Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,089.30 / $7,244.36	Facility		$186.21	$2,089.30	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $371.54	Professional		$83.18	$158.49	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $199.53	Professional		$85.11	$131.83	$199.53
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 / $177.83 / $316.23	Professional		$125.89	$177.83	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $302.00	Professional		$141.25	$194.98	$302.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $323.59	Professional		$151.36	$229.09	$323.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $309.03	Professional		$208.93	$213.80	$309.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $302.00	Professional		$141.25	$208.93	$302.00
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 / $190.55 / $309.03	Professional		$141.25	$190.55	$309.03