Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,862.09 / $5,011.87	Facility		$602.56	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $1,174.90	Professional		$537.03	$616.60	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
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 $602.56 / $776.25 / $1,071.52	Professional		$602.56	$776.25	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,148.15	Professional		$549.54	$758.58	$1,148.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $758.58 / $1,122.02	Professional		$4.79	$758.58	$1,122.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,380.38	Professional		$831.76	$1,023.29	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $1,122.02	Professional		$562.34	$676.08	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,023.29	Professional		$512.86	$676.08	$1,023.29