Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $741.31	Professional		$275.42	$398.11	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $707.95	Facility		$676.08	$676.08	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $537.03	Professional		$398.11	$398.11	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $407.38 / $478.63	Facility		$354.81	$407.38	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $524.81	Professional		$302.00	$302.00	$524.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,174.90	Professional		$371.54	$676.08	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $676.08 / $870.96	Professional		$660.69	$676.08	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $489.78	Facility		$245.47	$331.13	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $660.69	Professional		$302.00	$467.74	$660.69