Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $645.65	Professional		$263.03	$380.19	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $645.65	Professional		$446.68	$489.78	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $676.08	Facility		$645.65	$645.65	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $398.11 / $512.86	Professional		$389.05	$398.11	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $512.86	Facility		$302.00	$398.11	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $512.86	Professional		$288.40	$288.40	$512.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,148.15	Professional		$363.08	$645.65	$1,148.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $645.65 / $851.14	Professional		$630.96	$645.65	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $316.23 / $478.63	Facility		$158.49	$316.23	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $645.65	Professional		$295.12	$457.09	$645.65