Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,949.84 / $4,365.16	Facility		$602.56	$1,949.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $269.15 / $977.24	Professional		$77.62	$269.15	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $234.42	Professional		$74.13	$125.89	$234.42
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 / $338.84 / $645.65	Professional		$141.25	$338.84	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $741.31	Facility		$524.81	$575.44	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $602.56	Professional		$147.91	$323.59	$602.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $354.81 / $630.96	Professional		$114.82	$354.81	$630.96
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 $181.97 / $630.96 / $776.25	Professional		$181.97	$630.96	$776.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $389.05 / $741.31	Professional		$123.03	$389.05	$741.31
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 $141.25 / $309.03 / $562.34	Professional		$141.25	$309.03	$562.34