Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,019.95 / $5,888.44	Facility		$794.33	$3,019.95	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,318.26	Professional		$616.60	$812.83	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
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 $588.84 / $794.33 / $1,380.38	Professional		$588.84	$794.33	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,288.25	Professional		$630.96	$831.76	$1,288.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,412.54	Professional		$676.08	$977.24	$1,412.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,778.28	Professional		$912.01	$1,318.26	$1,778.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,584.89	Professional		$616.60	$870.96	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,380.38	Professional		$676.08	$870.96	$1,380.38