Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,862.09 / $5,011.87	Facility		$223.87	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $416.87	Professional		$70.79	$173.78	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $245.47	Professional		$100.00	$114.82	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $363.08	Professional		$131.83	$208.93	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $316.23	Professional		$144.54	$223.87	$316.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $371.54	Professional		$147.91	$234.42	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $354.81	Professional		$204.17	$251.19	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $346.74	Professional		$134.90	$239.88	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $346.74	Professional		$144.54	$223.87	$346.74