Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $5,011.87	Facility		$575.44	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $870.96	Professional		$288.40	$575.44	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $616.60 / $741.31	Professional		$602.56	$616.60	$741.31
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 $295.12 / $524.81 / $933.25	Professional		$295.12	$524.81	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $891.25	Professional		$295.12	$524.81	$891.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $977.24	Professional		$281.84	$524.81	$977.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $933.25	Professional		$380.19	$630.96	$933.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $630.96 / $912.01	Professional		$257.04	$630.96	$912.01
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 $316.23 / $562.34 / $954.99	Professional		$316.23	$562.34	$954.99