Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,862.09 / $5,011.87	Facility		$154.88	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $398.11	Professional		$104.71	$147.91	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $263.03	Professional		$104.71	$154.88	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $134.90	Facility		$97.72	$131.83	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $281.84	Professional		$104.71	$162.18	$281.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $208.93	Professional		$81.28	$141.25	$208.93
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $223.87	Professional		$151.36	$158.49	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $263.03	Professional		$100.00	$147.91	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,949.84 / $6,309.57	Facility		$724.44	$1,949.84	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $239.88	Professional		$100.00	$144.54	$239.88