Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,089.30 / $5,011.87	Facility		$181.97	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $380.19	Professional		$77.62	$162.18	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $107.15	Professional		$43.65	$83.18	$107.15
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 $85.11 / $158.49 / $316.23	Professional		$85.11	$158.49	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,047.13	Facility		$741.31	$741.31	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $331.13	Professional		$85.11	$169.82	$331.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $162.18 / $776.25	Professional		$63.10	$162.18	$776.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $257.04 / $1,174.90	Professional		$104.71	$257.04	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $169.82 / $309.03	Professional		$70.79	$169.82	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,949.84 / $6,309.57	Facility		$630.96	$1,949.84	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $275.42	Professional		$81.28	$154.88	$275.42