Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,454.71 / $5,011.87	Facility		$251.19	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $851.14	Professional		$218.78	$316.23	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $416.87 / $588.84	Professional	50	$416.87	$416.87	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $331.13	Professional		$165.96	$234.42	$331.13
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 $199.53 / $269.15 / $426.58	Professional		$199.53	$269.15	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $549.54	Professional		$239.88	$309.03	$549.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $426.58	Professional		$154.88	$295.12	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $363.08	Professional		$218.78	$257.04	$363.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $245.47	Professional		$169.82	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $436.52	Professional		$213.80	$302.00	$436.52