Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,698.24 / $5,011.87	Facility		$371.54	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $371.54 / $2,344.23	Professional		$75.86	$371.54	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $338.84 / $691.83	Professional		$95.50	$338.84	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $457.09 / $660.69	Professional		$87.10	$457.09	$660.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $416.87 / $602.56	Professional		$1.07	$416.87	$602.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $102.33 / $549.54	Professional		$0.72	$102.33	$549.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $363.08 / $363.08	Professional		$69.18	$363.08	$363.08
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 $89.13 / $398.11 / $794.33	Professional		$89.13	$398.11	$794.33