Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $354.81 / $501.19	Facility		$288.40	$354.81	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $100.00 / $407.38	Professional		$46.77	$100.00	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $64.57 / $93.33	Professional		$27.54	$64.57	$93.33
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 $46.77 / $61.66 / $114.82	Professional		$46.77	$61.66	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $138.04	Professional		$48.98	$85.11	$138.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $87.10 / $151.36	Professional		$0.54	$87.10	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $144.54	Professional		$54.95	$102.33	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $95.50 / $125.89	Professional		$37.15	$95.50	$125.89
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 $44.67 / $79.43 / $131.83	Professional		$44.67	$79.43	$131.83