Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $1,949.84	Facility		$199.53	$489.78	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $426.58	Professional		$181.97	$208.93	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $616.60	Facility		$114.82	$213.80	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $257.04	Professional		$125.89	$125.89	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $302.00 / $776.25	Facility		$169.82	$302.00	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $371.54	Professional		$128.82	$223.87	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $257.04 / $398.11	Professional		$89.13	$257.04	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $489.78	Professional		$107.15	$147.91	$489.78