Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,862.09 / $8,709.64	Facility		$218.78	$1,862.09	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $208.93 / $724.44	Professional		$53.70	$208.93	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $51.29	Professional		$47.86	$47.86	$51.29
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 $67.61 / $223.87 / $398.11	Professional		$67.61	$223.87	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $151.36 / $380.19	Professional		$61.66	$151.36	$380.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $229.09 / $660.69	Professional		$1.00	$229.09	$660.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $316.23 / $1,174.90	Professional		$75.86	$316.23	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $208.93 / $380.19	Professional		$50.12	$208.93	$380.19
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 $56.23 / $194.98 / $371.54	Professional		$56.23	$194.98	$371.54