Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,862.09 / $5,011.87	Facility		$229.09	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $316.23	Professional		$83.18	$181.97	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
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 $87.10 / $177.83 / $354.81	Professional		$87.10	$177.83	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $933.25	Facility		$660.69	$891.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $354.81	Professional		$91.20	$181.97	$354.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $229.09 / $691.83	Professional		$74.13	$229.09	$691.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $346.74 / $1,023.29	Professional		$125.89	$346.74	$1,023.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $398.11	Professional		$85.11	$213.80	$398.11
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 $87.10 / $173.78 / $309.03	Professional		$87.10	$173.78	$309.03