Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,862.09 / $5,011.87	Facility		$309.03	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $194.98 / $741.31	Professional		$69.18	$194.98	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $257.04	Professional		$34.67	$64.57	$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 $69.18 / $177.83 / $489.78	Professional		$69.18	$177.83	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $724.44	Facility		$323.59	$512.86	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $169.82 / $436.52	Professional		$72.44	$169.82	$436.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $575.44	Professional		$60.26	$181.97	$575.44
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $478.63 / $794.33	Professional		$100.00	$478.63	$794.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $295.12 / $549.54	Professional		$66.07	$295.12	$549.54
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 $69.18 / $158.49 / $389.05	Professional		$69.18	$158.49	$389.05