Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $2,089.30 / $5,011.87	Facility		$102.33	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $288.40	Professional		$51.29	$95.50	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $46.77	Professional		$25.12	$25.12	$46.77
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 $52.48 / $97.72 / $173.78	Professional		$52.48	$97.72	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $93.33	Facility		$67.61	$91.20	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $194.98	Professional		$53.70	$100.00	$194.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $138.04	Professional		$42.66	$89.13	$138.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $141.25	Professional		$70.79	$104.71	$141.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $169.82	Professional		$47.86	$93.33	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,513.56 / $4,786.30	Facility		$407.38	$1,513.56	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $158.49	Professional		$52.48	$93.33	$158.49