Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,698.24 / $4,897.79	Facility		$407.38	$1,698.24	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $1,174.90	Professional		$208.93	$309.03	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $331.13	Professional		$165.96	$208.93	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $6,760.83	Facility		$1,513.56	$3,467.37	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $389.05	Professional		$213.80	$281.84	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $426.58	Professional		$190.55	$309.03	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $776.25	Professional		$204.17	$302.00	$776.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $1,023.29	Professional		$257.04	$331.13	$1,023.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $223.87	Professional		$169.82	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $10,000.00	Facility		$724.44	$1,995.26	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $380.19	Professional		$194.98	$288.40	$380.19