Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,862.09 / $5,011.87	Facility		$131.83	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $537.03	Professional		$97.72	$141.25	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $154.88	Professional		$112.20	$125.89	$154.88
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 $95.50 / $104.71 / $213.80	Professional		$95.50	$104.71	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $234.42	Professional		$93.33	$141.25	$234.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $229.09	Professional		$85.11	$141.25	$229.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $194.98	Professional		$128.82	$128.82	$194.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $128.82	Professional		$87.10	$128.82	$128.82
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 $93.33 / $123.03 / $213.80	Professional		$93.33	$123.03	$213.80