Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,698.24 / $5,011.87	Facility		$158.49	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $549.54	Professional		$93.33	$144.54	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $147.91	Professional		$43.65	$44.67	$147.91
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 $114.82 / $165.96 / $257.04	Professional		$114.82	$165.96	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $218.78	Professional		$104.71	$151.36	$218.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $1,174.90	Professional		$89.13	$158.49	$1,174.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $1,548.82	Professional		$134.90	$223.87	$1,548.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $151.36	Professional		$89.13	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $239.88	Professional		$107.15	$154.88	$239.88