Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,454.71 / $5,011.87	Facility		$602.56	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $954.99	Professional		$120.23	$263.03	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
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 $147.91 / $575.44 / $1,000.00	Professional		$147.91	$575.44	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $588.84 / $870.96	Professional		$128.82	$588.84	$870.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $616.60 / $954.99	Professional		$128.82	$616.60	$954.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $602.56 / $933.25	Professional		$173.78	$602.56	$933.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $616.60 / $870.96	Professional		$117.49	$616.60	$870.96
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 $144.54 / $575.44 / $1,096.48	Professional		$144.54	$575.44	$1,096.48