Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,862.09 / $5,011.87	Facility		$234.42	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $489.78	Professional		$213.80	$251.19	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
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 $213.80 / $275.42 / $436.52	Professional		$213.80	$275.42	$436.52
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 $223.87 / $316.23 / $467.74	Professional		$223.87	$316.23	$467.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $281.84 / $436.52	Professional		$2.34	$281.84	$436.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $407.38	Professional		$213.80	$346.74	$407.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $457.09	Professional		$234.42	$269.15	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $416.87	Professional		$204.17	$269.15	$416.87