Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,454.71 / $5,011.87	Facility		$478.63	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,737.80	Professional		$354.81	$501.19	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
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 $380.19 / $524.81 / $776.25	Professional		$380.19	$524.81	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $912.01	Professional		$354.81	$575.44	$912.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $575.44 / $1,096.48	Professional		$3.55	$575.44	$1,096.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,949.84	Professional		$524.81	$794.33	$1,949.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $891.25	Professional		$346.74	$524.81	$891.25
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 $346.74 / $562.34 / $831.76	Professional		$346.74	$562.34	$831.76