Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,862.09 / $5,011.87	Facility		$218.78	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $602.56	Professional		$104.71	$190.55	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
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 $102.33 / $190.55 / $354.81	Professional		$102.33	$190.55	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $186.21	Facility		$138.04	$138.04	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $363.08	Professional		$102.33	$190.55	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $288.40	Professional		$89.13	$173.78	$288.40
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 $158.49 / $213.80 / $338.84	Professional		$158.49	$213.80	$338.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $371.54	Professional		$107.15	$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 $97.72 / $165.96 / $295.12	Professional		$97.72	$165.96	$295.12