Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $2,137.96 / $10,232.93	Facility		$123.03	$2,137.96	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $389.05	Professional		$114.82	$199.53	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $147.91	Professional		$109.65	$109.65	$147.91
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 $134.90 / $208.93 / $354.81	Professional		$134.90	$208.93	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $316.23	Professional		$117.49	$190.55	$316.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $331.13	Professional		$114.82	$213.80	$331.13
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $316.23	Professional		$173.78	$257.04	$316.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $208.93	Professional		$114.82	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $323.59	Professional		$125.89	$199.53	$323.59