Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,089.30 / $5,011.87	Facility		$165.96	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $758.58	Professional		$112.20	$165.96	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $257.04	Professional		$151.36	$165.96	$257.04
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 $138.04 / $199.53 / $302.00	Professional		$138.04	$199.53	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $263.03	Professional		$125.89	$173.78	$263.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $288.40	Professional		$107.15	$173.78	$288.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $269.15	Professional		$151.36	$162.18	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $177.83	Professional		$107.15	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,905.46 / $4,786.30	Facility		$407.38	$1,905.46	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $269.15	Professional		$125.89	$177.83	$269.15