Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,818.38 / $5,888.44	Facility		$398.11	$2,818.38	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $758.58	Professional		$257.04	$407.38	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $380.19	Professional		$257.04	$257.04	$380.19
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 $275.42 / $338.84 / $512.86	Professional		$275.42	$338.84	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $707.95	Professional		$281.84	$436.52	$707.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $446.68 / $794.33	Professional		$2.69	$446.68	$794.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,380.38	Professional		$389.05	$630.96	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $758.58	Professional		$257.04	$416.87	$758.58
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 $257.04 / $407.38 / $660.69	Professional		$257.04	$407.38	$660.69