Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,089.30 / $5,011.87	Facility		$524.81	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,047.13	Professional		$457.09	$549.54	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
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 $512.86 / $676.08 / $933.25	Professional		$512.86	$676.08	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $977.24	Professional		$467.74	$676.08	$977.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $660.69 / $1,000.00	Professional		$6.31	$660.69	$1,000.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,380.38	Professional		$741.31	$912.01	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $977.24	Professional		$489.78	$602.56	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,290.87 / $6,456.54	Facility		$724.44	$2,290.87	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $891.25	Professional		$446.68	$602.56	$891.25