Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,398.83 / $5,011.87	Facility		$323.59	$2,398.83	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $524.81	Professional		$190.55	$302.00	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $208.93	Professional		$87.10	$173.78	$208.93
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 $181.97 / $281.84 / $524.81	Professional		$181.97	$281.84	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $478.63	Professional		$199.53	$309.03	$478.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $562.34	Professional		$213.80	$389.05	$562.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $537.03 / $630.96	Professional		$288.40	$537.03	$630.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $489.78	Professional		$194.98	$363.08	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $512.86	Professional		$213.80	$323.59	$512.86