Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,862.09 / $5,011.87	Facility		$239.88	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $812.83	Professional		$141.25	$269.15	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $398.11	Professional		$190.55	$223.87	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $416.87	Professional		$169.82	$281.84	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $338.84	Professional		$128.82	$190.55	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $229.09 / $407.38	Professional		$1.82	$229.09	$407.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $234.42 / $380.19	Professional		$1.20	$234.42	$380.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $257.04	Professional		$154.88	$251.19	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $6,606.93	Facility		$1,071.52	$2,570.40	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $323.59	Professional		$138.04	$190.55	$323.59