Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,238.72 / $5,011.87	Facility		$165.96	$2,238.72	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $269.15	Professional		$81.28	$144.54	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
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 $107.15 / $173.78 / $269.15	Professional		$107.15	$173.78	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $295.12	Professional		$89.13	$165.96	$295.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $323.59	Professional		$95.50	$204.17	$323.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $316.23 / $346.74	Professional		$131.83	$316.23	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $251.19	Professional		$87.10	$194.98	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $295.12	Professional		$100.00	$177.83	$295.12