Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,513.56 / $4,365.16	Facility		$288.40	$1,513.56	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $389.05	Professional		$89.13	$162.18	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $102.33	Professional		$87.10	$87.10	$102.33
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 $79.43 / $141.25 / $346.74	Professional		$79.43	$141.25	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $309.03	Professional		$91.20	$162.18	$309.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $416.87	Professional		$114.82	$204.17	$416.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $354.81 / $407.38	Professional		$158.49	$354.81	$407.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $346.74	Professional		$104.71	$251.19	$346.74
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 $91.20 / $162.18 / $275.42	Professional		$91.20	$162.18	$275.42