Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $10,232.93	Facility		$758.58	$2,089.30	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $758.58 / $4,570.88	Facility	50	$758.58	$758.58	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $2,290.87	Professional		$467.74	$562.34	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Professional		$501.19	$501.19	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $7,762.47	Facility		$3,715.35	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,023.29	Professional		$512.86	$741.31	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $870.96	Professional		$363.08	$562.34	$870.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $2,511.89	Professional		$398.11	$676.08	$2,511.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $2,511.89	Professional		$758.58	$758.58	$2,511.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $537.03	Professional		$501.19	$501.19	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $870.96	Professional		$426.58	$588.84	$870.96