Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,467.37 / $6,918.31	Facility		$758.58	$3,467.37	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,174.90	Professional		$549.54	$741.31	$1,174.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $977.24 / $4,466.84	Professional	50	$741.31	$977.24	$4,466.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	50	$741.31	$741.31	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $1,230.27	Professional		$537.03	$602.56	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,174.90	Professional		$501.19	$794.33	$1,174.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,412.54	Professional		$602.56	$891.25	$1,412.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,698.24	Professional		$758.58	$1,122.02	$1,698.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $741.31	Professional		$501.19	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,230.27	Professional		$537.03	$707.95	$1,230.27