Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,818.38 / $5,888.44	Facility		$380.19	$2,818.38	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $2,089.30	Professional		$263.03	$380.19	$2,089.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional	50	$2,238.72	$2,238.72	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $295.12	Professional		$239.88	$269.15	$295.12
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 $288.40 / $436.52 / $660.69	Professional		$288.40	$436.52	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $602.56	Professional		$269.15	$389.05	$602.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $616.60	Professional		$245.47	$398.11	$616.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $562.34	Professional		$338.84	$371.54	$562.34
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $380.19	Professional		$245.47	$380.19	$380.19
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 $288.40 / $407.38 / $616.60	Professional		$288.40	$407.38	$616.60