Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,862.09 / $5,011.87	Facility		$239.88	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $398.11	Professional		$154.88	$239.88	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
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 $165.96 / $229.09 / $295.12	Professional		$165.96	$229.09	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $436.52	Professional		$169.82	$263.03	$436.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $251.19 / $407.38	Professional		$3.55	$251.19	$407.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $389.05	Professional		$223.87	$281.84	$389.05
Select Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $457.09	Professional		$147.91	$257.04	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $389.05	Professional		$147.91	$239.88	$389.05