Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $295.12 / $346.74	Facility		$93.33	$295.12	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $223.87	Professional		$95.50	$128.82	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $89.13	Professional		$75.86	$83.18	$89.13
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 $102.33 / $131.83 / $199.53	Professional		$102.33	$131.83	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $234.42	Professional		$107.15	$154.88	$234.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $138.04 / $208.93	Professional		$1.45	$138.04	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $199.53	Professional		$107.15	$134.90	$199.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $199.53	Professional		$89.13	$131.83	$199.53
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 / $141.25 / $213.80	Professional		$100.00	$141.25	$213.80