Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,454.71 / $5,011.87	Facility		$218.78	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $323.59	Professional		$117.49	$190.55	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
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 $128.82 / $199.53 / $354.81	Professional		$128.82	$199.53	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $338.84	Professional		$141.25	$223.87	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $363.08	Professional		$147.91	$229.09	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $354.81	Professional		$199.53	$245.47	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $338.84	Professional		$131.83	$234.42	$338.84
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 $147.91 / $213.80 / $354.81	Professional		$147.91	$213.80	$354.81