Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,884.03 / $6,025.60	Facility		$457.09	$2,884.03	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,819.70	Professional		$323.59	$478.63	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
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 $354.81 / $457.09 / $691.83	Professional		$354.81	$457.09	$691.83
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 $338.84 / $446.68 / $691.83	Professional		$338.84	$446.68	$691.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $891.25	Professional		$323.59	$537.03	$891.25
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 $489.78 / $758.58 / $1,174.90	Professional		$489.78	$758.58	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $512.86	Professional		$323.59	$478.63	$512.86
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 $346.74 / $501.19 / $758.58	Professional		$346.74	$501.19	$758.58