Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,862.09 / $5,011.87	Facility		$134.90	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $288.40	Professional		$117.49	$147.91	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $194.98	Professional		$151.36	$151.36	$194.98
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 $114.82 / $147.91 / $234.42	Professional		$114.82	$147.91	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $251.19	Professional		$123.03	$169.82	$251.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $165.96 / $251.19	Professional		$1.07	$165.96	$251.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $234.42	Professional		$181.97	$194.98	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $257.04	Professional		$131.83	$158.49	$257.04
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 $109.65 / $147.91 / $234.42	Professional		$109.65	$147.91	$234.42