Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,862.09 / $5,011.87	Facility		$154.88	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $158.49 / $691.83	Professional		$75.86	$158.49	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $134.90	Professional		$81.28	$81.28	$134.90
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 $83.18 / $141.25 / $251.19	Professional		$83.18	$141.25	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $223.87	Professional		$79.43	$131.83	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $251.19	Professional		$66.07	$128.82	$251.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $229.09	Professional		$100.00	$117.49	$229.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $144.54 / $154.88	Professional		$66.07	$144.54	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $229.09	Professional		$81.28	$144.54	$229.09