Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,698.24 / $4,466.84	Facility		$389.05	$1,698.24	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $724.44	Professional		$144.54	$190.55	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $162.18	Professional		$114.82	$138.04	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $6,760.83	Facility		$1,513.56	$3,467.37	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $288.40	Professional		$151.36	$204.17	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $275.42	Professional		$134.90	$194.98	$275.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $416.87	Professional		$147.91	$204.17	$416.87
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $537.03	Professional		$186.21	$245.47	$537.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $165.96	Professional		$123.03	$165.96	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $10,000.00	Facility		$407.38	$1,584.89	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $275.42	Professional		$138.04	$190.55	$275.42