Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,698.24 / $5,011.87	Facility		$213.80	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $398.11	Professional		$120.23	$190.55	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$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 $123.03 / $194.98 / $354.81	Professional		$123.03	$194.98	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $346.74	Professional		$125.89	$199.53	$346.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $169.82 / $288.40	Professional		$1.05	$169.82	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $173.78 / $316.23	Professional		$0.78	$173.78	$316.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $371.54	Professional		$114.82	$213.80	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $2,041.74	Facility		$199.53	$1,047.13	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $309.03	Professional		$117.49	$177.83	$309.03