Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,137.96 / $5,011.87	Facility		$234.42	$2,137.96	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $812.83	Professional		$173.78	$223.87	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
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 $208.93 / $288.40 / $407.38	Professional		$208.93	$288.40	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $363.08	Professional		$169.82	$239.88	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $2,089.30	Professional		$165.96	$275.42	$2,089.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $2,691.53	Professional		$251.19	$363.08	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $239.88	Professional		$165.96	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $363.08	Professional		$173.78	$234.42	$363.08