Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,862.09 / $5,011.87	Facility		$107.15	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $186.21	Professional		$45.71	$91.20	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
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 $50.12 / $66.07 / $104.71	Professional		$50.12	$66.07	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $165.96	Professional		$47.86	$95.50	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $107.15 / $165.96	Professional		$40.74	$107.15	$165.96
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $154.88	Professional		$61.66	$107.15	$154.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $102.33 / $102.33	Professional		$40.74	$102.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $173.78	Professional		$50.12	$97.72	$173.78