Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,454.71 / $5,011.87	Facility		$245.47	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $467.74	Professional		$120.23	$223.87	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
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 $151.36 / $229.09 / $398.11	Professional		$151.36	$229.09	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $380.19	Professional		$165.96	$251.19	$380.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $407.38	Professional		$169.82	$263.03	$407.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $398.11	Professional		$229.09	$269.15	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $380.19	Professional		$151.36	$263.03	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $407.38	Professional		$173.78	$251.19	$407.38