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 $107.15 / $194.98 / $630.96	Professional		$107.15	$194.98	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $117.49	Professional		$93.33	$93.33	$117.49
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 $104.71 / $194.98 / $363.08	Professional		$104.71	$194.98	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $208.93	Facility		$204.17	$204.17	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $371.54	Professional		$109.65	$190.55	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $302.00	Professional		$89.13	$186.21	$302.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $346.74	Professional		$158.49	$269.15	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $380.19	Professional		$107.15	$218.78	$380.19
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 $100.00 / $173.78 / $302.00	Professional		$100.00	$173.78	$302.00