Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,862.09 / $5,011.87	Facility		$389.05	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $309.03 / $691.83	Professional		$134.90	$309.03	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
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 $141.25 / $186.21 / $288.40	Professional		$141.25	$186.21	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $512.86	Professional		$138.04	$251.19	$512.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $275.42 / $645.65	Professional		$117.49	$275.42	$645.65
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $602.56	Professional		$173.78	$204.17	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $371.54 / $407.38	Professional		$117.49	$371.54	$407.38
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 $138.04 / $257.04 / $537.03	Professional		$138.04	$257.04	$537.03