Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $12,882.50 / $28,183.83	Facility		$4,265.80	$12,882.50	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $6,456.54	Professional		$954.99	$1,621.81	$6,456.54
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $165.96 / $741.31 / $954.99	Professional	AS	$165.96	$741.31	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,122.02 / $1,412.54	Professional		$154.88	$1,122.02	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $14,454.40 / $19,498.45	Facility		$10,715.19	$14,454.40	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,570.40	Professional		$1,348.96	$1,819.70	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $154.88 / $239.88 / $331.13	Professional	AS	$154.88	$239.88	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $17,782.79 / $23,442.29	Facility		$15,848.93	$17,782.79	$23,442.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,754.23	Professional		$1,258.93	$1,819.70	$2,754.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $1,479.11 / $12,022.64	Professional		$25.70	$1,479.11	$12,022.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $15,135.61	Professional		$1,698.24	$1,698.24	$15,135.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,344.23	Professional		$1,148.15	$1,148.15	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $14,454.40 / $26,915.35	Facility		$3,715.35	$14,454.40	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,290.87	Professional		$1,230.27	$1,659.59	$2,290.87