Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,698.24 / $5,011.87	Facility		$181.97	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $707.95	Professional		$123.03	$208.93	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $316.23	Professional		$151.36	$162.18	$316.23
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 $128.82 / $208.93 / $309.03	Professional		$128.82	$208.93	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $263.03	Professional		$109.65	$162.18	$263.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $295.12	Professional		$109.65	$181.97	$295.12
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $275.42	Professional		$177.83	$194.98	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $186.21	Professional		$117.49	$181.97	$186.21
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 $114.82 / $165.96 / $263.03	Professional		$114.82	$165.96	$263.03