Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,089.30 / $4,466.84	Facility		$524.81	$2,089.30	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $1,096.48	Professional		$89.13	$218.78	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $213.80	Professional		$70.79	$83.18	$213.80
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 $112.20 / $223.87 / $416.87	Professional		$112.20	$223.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $346.74	Professional		$102.33	$208.93	$346.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $234.42 / $371.54	Professional		$1.82	$234.42	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $123.03 / $354.81	Professional		$1.20	$123.03	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $234.42 / $234.42	Professional		$81.28	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,290.87 / $6,456.54	Facility		$724.44	$2,290.87	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $398.11	Professional		$104.71	$234.42	$398.11