Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,454.71 / $5,011.87	Facility		$218.78	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $977.24	Professional		$194.98	$239.88	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $302.00	Professional		$213.80	$229.09	$302.00
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 $213.80 / $263.03 / $398.11	Professional		$213.80	$263.03	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $436.52	Professional		$199.53	$295.12	$436.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $251.19 / $371.54	Professional		$1.07	$251.19	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $354.81	Professional		$204.17	$295.12	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $426.58	Professional		$194.98	$234.42	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $389.05	Professional		$190.55	$257.04	$389.05