Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,818.38 / $5,011.87	Facility		$245.47	$2,818.38	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $977.24	Professional		$162.18	$245.47	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $173.78	Professional		$131.83	$131.83	$173.78
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 $147.91 / $218.78 / $398.11	Professional		$147.91	$218.78	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $398.11	Professional		$165.96	$251.19	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $776.25	Professional		$186.21	$302.00	$776.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $1,174.90	Professional		$257.04	$407.38	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $380.19	Professional		$169.82	$275.42	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $398.11	Professional		$173.78	$251.19	$398.11