Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,454.71 / $5,011.87	Facility		$501.19	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $2,187.76	Professional		$309.03	$524.81	$2,187.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $1,023.29	Professional		$181.97	$309.03	$1,023.29
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 $331.13 / $457.09 / $602.56	Professional		$331.13	$457.09	$602.56
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 $316.23 / $489.78 / $870.96	Professional		$316.23	$489.78	$870.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $524.81 / $912.01	Professional		$3.24	$524.81	$912.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,174.90	Professional		$457.09	$831.76	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $933.25	Professional		$302.00	$549.54	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $776.25	Professional		$295.12	$467.74	$776.25