Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,698.24 / $5,011.87	Facility		$407.38	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $1,000.00	Professional		$165.96	$288.40	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $208.93	Professional		$141.25	$165.96	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $371.54	Professional		$177.83	$234.42	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $281.84	Professional		$165.96	$204.17	$281.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $169.82 / $239.88	Professional		$3.80	$169.82	$239.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $213.80	Professional		$3.24	$3.24	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $165.96	Professional		$141.25	$141.25	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $316.23	Professional		$169.82	$234.42	$316.23