Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,862.09 / $5,754.40	Facility		$128.82	$1,862.09	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $338.84	Professional		$52.48	$114.82	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
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 $58.88 / $112.20 / $213.80	Professional		$58.88	$112.20	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $194.98	Professional		$61.66	$112.20	$194.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $128.82 / $208.93	Professional		$54.95	$128.82	$208.93
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $194.98	Professional		$83.18	$158.49	$194.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $128.82 / $128.82	Professional		$54.95	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $194.98	Professional		$60.26	$117.49	$194.98