Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,698.24 / $4,466.84	Facility		$251.19	$1,698.24	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $446.68	Professional		$114.82	$229.09	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $245.47	Professional		$186.21	$218.78	$245.47
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 $128.82 / $204.17 / $398.11	Professional		$128.82	$204.17	$398.11
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 $134.90 / $218.78 / $316.23	Professional		$134.90	$218.78	$316.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $398.11	Professional		$144.54	$229.09	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $389.05	Professional		$199.53	$295.12	$389.05
Select Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $371.54	Professional		$131.83	$257.04	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $338.84	Professional		$138.04	$213.80	$338.84