Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,698.24 / $5,011.87	Facility		$245.47	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $208.93 / $660.69	Professional		$34.67	$208.93	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $38.02 / $257.04	Professional		$16.98	$38.02	$257.04
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 $35.48 / $162.18 / $416.87	Professional		$35.48	$162.18	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $190.55	Facility		$138.04	$186.21	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $208.93 / $371.54	Professional		$38.90	$208.93	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $186.21 / $354.81	Professional		$30.20	$186.21	$354.81
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $213.80 / $407.38	Professional		$50.12	$213.80	$407.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $239.88 / $389.05	Professional		$33.88	$239.88	$389.05
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 $37.15 / $186.21 / $354.81	Professional		$37.15	$186.21	$354.81