Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,862.09 / $5,011.87	Facility		$177.83	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $323.59	Professional		$107.15	$177.83	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
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 $112.20 / $165.96 / $288.40	Professional		$112.20	$165.96	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $263.03	Professional		$112.20	$177.83	$263.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $186.21 / $288.40	Professional		$2.09	$186.21	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $151.36 / $281.84	Professional		$1.55	$151.36	$281.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $275.42	Professional		$102.33	$186.21	$275.42
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 $117.49 / $173.78 / $275.42	Professional		$117.49	$173.78	$275.42