Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,454.71 / $5,011.87	Facility		$91.20	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $91.20 / $281.84	Professional		$43.65	$91.20	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $83.18 / $93.33	Professional		$81.28	$83.18	$93.33
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 $44.67 / $57.54 / $85.11	Professional		$44.67	$57.54	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $109.65 / $173.78	Professional		$47.86	$109.65	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $91.20 / $162.18	Professional		$1.20	$91.20	$162.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $144.54	Professional		$58.88	$102.33	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $97.72 / $141.25	Professional		$38.90	$97.72	$141.25
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 $46.77 / $93.33 / $194.98	Professional		$46.77	$93.33	$194.98