Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,862.09 / $5,011.87	Facility		$162.18	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $275.42	Professional		$95.50	$154.88	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
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 $102.33 / $147.91 / $316.23	Professional		$102.33	$147.91	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $275.42	Professional		$104.71	$173.78	$275.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $165.96 / $363.08	Professional		$1.20	$165.96	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $602.56	Professional		$128.82	$245.47	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $245.47	Professional		$87.10	$162.18	$245.47
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 $100.00 / $162.18 / $263.03	Professional		$100.00	$162.18	$263.03