Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,698.24 / $4,466.84	Facility		$724.44	$1,698.24	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $245.47 / $977.24	Professional		$93.33	$245.47	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $251.19	Professional		$85.11	$123.03	$251.19
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 $102.33 / $147.91 / $436.52	Professional		$102.33	$147.91	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $229.09 / $436.52	Professional		$102.33	$229.09	$436.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $245.47 / $457.09	Professional		$1.20	$245.47	$457.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $407.38 / $602.56	Professional		$131.83	$407.38	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $275.42 / $389.05	Professional		$89.13	$275.42	$389.05
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 $100.00 / $223.87 / $398.11	Professional		$100.00	$223.87	$398.11