Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,951.21 / $5,888.44	Facility		$724.44	$2,951.21	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $776.25 / $4,466.84	Professional		$162.18	$776.25	$4,466.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $331.13	Professional		$288.40	$288.40	$331.13
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 $208.93 / $676.08 / $1,380.38	Professional		$208.93	$676.08	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $870.96 / $1,288.25	Professional		$186.21	$870.96	$1,288.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $870.96 / $1,230.27	Professional		$158.49	$870.96	$1,230.27
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,071.52 / $1,174.90	Professional		$223.87	$1,071.52	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $724.44 / $724.44	Professional		$147.91	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,290.87 / $6,456.54	Facility		$724.44	$2,290.87	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $758.58 / $1,479.11	Professional		$194.98	$758.58	$1,479.11