Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $758.58	Professional		$363.08	$478.63	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,202.26	Facility		$1,148.15	$1,148.15	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $676.08	Professional		$501.19	$524.81	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $524.81 / $1,023.29	Facility		$436.52	$524.81	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $741.31	Professional		$380.19	$380.19	$741.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,995.26	Professional		$630.96	$1,148.15	$1,995.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,148.15	Professional		$851.14	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $416.87 / $562.34	Facility		$316.23	$416.87	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $1,023.29	Professional		$331.13	$602.56	$1,023.29