Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,862.09 / $5,011.87	Facility		$120.23	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $208.93	Professional		$93.33	$128.82	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $117.49	Professional		$112.20	$112.20	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $190.55	Professional		$87.10	$117.49	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $234.42	Professional		$91.20	$144.54	$234.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $1,445.44	Professional		$85.11	$141.25	$1,445.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $1,949.84	Professional		$104.71	$181.97	$1,949.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $120.23	Professional		$70.79	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $208.93	Professional		$91.20	$131.83	$208.93