Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,862.09 / $4,466.84	Facility		$562.34	$1,862.09	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $891.25	Professional		$102.33	$245.47	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $257.04	Professional		$87.10	$125.89	$257.04
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 $109.65 / $162.18 / $467.74	Professional		$109.65	$162.18	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $446.68	Professional		$112.20	$229.09	$446.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $245.47 / $467.74	Professional		$1.29	$245.47	$467.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $416.87 / $602.56	Professional		$141.25	$416.87	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $275.42 / $398.11	Professional		$95.50	$275.42	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,905.46 / $4,786.30	Facility		$407.38	$1,905.46	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $398.11	Professional		$107.15	$223.87	$398.11