Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,454.71 / $5,011.87	Facility		$288.40	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $478.63	Professional		$190.55	$288.40	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
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 $186.21 / $269.15 / $478.63	Professional		$186.21	$269.15	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $436.52	Professional		$204.17	$295.12	$436.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $489.78	Professional		$208.93	$323.59	$489.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $467.74	Professional		$288.40	$302.00	$467.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $457.09	Professional		$190.55	$316.23	$457.09
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 $213.80 / $295.12 / $489.78	Professional		$213.80	$295.12	$489.78