Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,698.24 / $5,011.87	Facility		$281.84	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $457.09	Professional		$85.11	$213.80	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
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 $91.20 / $218.78 / $446.68	Professional		$91.20	$218.78	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $741.31	Facility		$524.81	$707.95	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $223.87 / $426.58	Professional		$93.33	$223.87	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $234.42 / $537.03	Professional		$74.13	$234.42	$537.03
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $426.58 / $776.25	Professional		$117.49	$426.58	$776.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $263.03 / $524.81	Professional		$77.62	$263.03	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,949.84 / $6,309.57	Facility		$724.44	$1,949.84	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $371.54	Professional		$89.13	$204.17	$371.54