Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,089.30 / $5,011.87	Facility		$165.96	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $660.69	Professional		$112.20	$162.18	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
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 $109.65 / $162.18 / $281.84	Professional		$109.65	$162.18	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $147.91	Facility		$104.71	$141.25	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $302.00	Professional		$109.65	$173.78	$302.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $218.78	Professional		$83.18	$151.36	$218.78
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $239.88	Professional		$158.49	$165.96	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $281.84	Professional		$104.71	$158.49	$281.84
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 $102.33 / $154.88 / $251.19	Professional		$102.33	$154.88	$251.19