Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,818.38 / $5,888.44	Facility		$389.05	$2,818.38	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $645.65	Professional		$186.21	$354.81	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $407.38	Professional		$186.21	$371.54	$407.38
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 $257.04 / $346.74 / $630.96	Professional		$257.04	$346.74	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $575.44	Professional		$269.15	$407.38	$575.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $645.65	Professional		$251.19	$457.09	$645.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $630.96	Professional		$346.74	$630.96	$630.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $812.83	Professional		$229.09	$416.87	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $630.96	Professional		$269.15	$389.05	$630.96