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 / $5,011.87	Facility		$208.93	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $346.74	Professional		$128.82	$199.53	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
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 $120.23 / $190.55 / $338.84	Professional		$120.23	$190.55	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $302.00	Professional		$134.90	$208.93	$302.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $354.81	Professional		$141.25	$218.78	$354.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $338.84	Professional		$190.55	$239.88	$338.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $331.13	Professional		$128.82	$229.09	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $316.23	Professional		$138.04	$208.93	$316.23