Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,862.09 / $5,011.87	Facility		$194.98	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $724.44	Professional		$104.71	$186.21	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $173.78	Professional		$102.33	$158.49	$173.78
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 $107.15 / $177.83 / $323.59	Professional		$107.15	$177.83	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $181.97	Facility		$134.90	$134.90	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $323.59	Professional		$104.71	$177.83	$323.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $251.19	Professional		$87.10	$162.18	$251.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $281.84	Professional		$144.54	$213.80	$281.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $331.13	Professional		$95.50	$186.21	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $275.42	Professional		$100.00	$162.18	$275.42