Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,454.71 / $5,011.87	Facility		$616.60	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $851.14	Professional		$331.13	$630.96	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Professional		$549.54	$645.65	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,000.00	Professional		$323.59	$575.44	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $977.24	Professional		$323.59	$575.44	$977.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $1,023.29	Professional		$309.03	$524.81	$1,023.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,000.00	Professional		$426.58	$630.96	$1,000.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $660.69 / $977.24	Professional		$281.84	$660.69	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $1,000.00	Professional		$346.74	$616.60	$1,000.00