Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,862.09 / $5,011.87	Facility		$186.21	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $954.99	Professional		$117.49	$194.98	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
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 $104.71 / $169.82 / $239.88	Professional		$104.71	$169.82	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $281.84	Professional		$107.15	$181.97	$281.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $302.00	Professional		$117.49	$194.98	$302.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $288.40	Professional		$173.78	$213.80	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $190.55	Professional		$117.49	$190.55	$190.55
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 $120.23 / $186.21 / $288.40	Professional		$120.23	$186.21	$288.40