Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,168.69 / $6,918.31	Facility		$1,348.96	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $2,089.30	Professional		$758.58	$870.96	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
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 $891.25 / $1,096.48 / $1,548.82	Professional		$891.25	$1,096.48	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,548.82	Professional		$758.58	$1,096.48	$1,548.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $1,000.00 / $4,677.35	Professional		$9.12	$1,000.00	$4,677.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $5,754.40	Professional		$1,202.26	$1,202.26	$5,754.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,548.82	Professional		$794.33	$794.33	$1,548.82
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 $691.83 / $977.24 / $1,445.44	Professional		$691.83	$977.24	$1,445.44