Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,698.24 / $4,466.84	Facility		$275.42	$1,698.24	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $851.14	Professional		$162.18	$288.40	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $354.81	Professional		$123.03	$251.19	$354.81
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 $158.49 / $257.04 / $446.68	Professional		$158.49	$257.04	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna 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 $181.97 / $288.40 / $467.74	Professional		$181.97	$288.40	$467.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $446.68	Professional		$245.47	$331.13	$446.68
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $436.52	Professional		$162.18	$302.00	$436.52
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 $173.78 / $275.42 / $446.68	Professional		$173.78	$275.42	$446.68