Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,454.71 / $5,011.87	Facility		$223.87	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $173.78 / $436.52	Professional		$69.18	$173.78	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $125.89	Professional		$63.10	$100.00	$125.89
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 $70.79 / $173.78 / $354.81	Professional		$70.79	$173.78	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $741.31	Facility		$524.81	$707.95	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $177.83 / $338.84	Professional		$74.13	$177.83	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $181.97 / $524.81	Professional		$56.23	$181.97	$524.81
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $363.08 / $776.25	Professional		$104.71	$363.08	$776.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $223.87 / $371.54	Professional		$70.79	$223.87	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,456.54	Facility		$724.44	$1,995.26	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $165.96 / $316.23	Professional		$72.44	$165.96	$316.23