Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,862.09 / $5,011.87	Facility		$295.12	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $478.63	Professional		$109.65	$245.47	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $281.84	Professional		$109.65	$239.88	$281.84
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 $104.71 / $117.49 / $218.78	Professional		$104.71	$117.49	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $467.74	Professional		$112.20	$223.87	$467.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $281.84 / $489.78	Professional		$123.03	$281.84	$489.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $416.87	Professional		$151.36	$275.42	$416.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $281.84 / $281.84	Professional		$102.33	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $416.87	Professional		$104.71	$245.47	$416.87