Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,905.46 / $5,011.87	Facility		$229.09	$1,905.46	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $707.95	Professional		$131.83	$213.80	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $141.25	Professional		$125.89	$125.89	$141.25
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 $151.36 / $239.88 / $380.19	Professional		$151.36	$239.88	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $338.84	Professional		$134.90	$208.93	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $398.11	Professional		$125.89	$223.87	$398.11
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 $190.55 / $213.80 / $371.54	Professional		$190.55	$213.80	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $251.19	Professional		$125.89	$234.42	$251.19
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 $138.04 / $223.87 / $354.81	Professional		$138.04	$223.87	$354.81