Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,495.41 / $9,772.37	Facility		$2,137.96	$5,495.41	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $5,370.32	Professional		$1,047.13	$1,548.82	$5,370.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,148.15	Professional		$954.99	$954.99	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $8,128.31	Facility		$4,570.88	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,041.74	Professional		$1,023.29	$1,412.54	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,621.81	Professional		$831.76	$1,122.02	$1,621.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $4,786.30	Professional		$794.33	$1,230.27	$4,786.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,786.30	Professional		$1,380.38	$1,380.38	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $977.24	Professional		$912.01	$912.01	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $10,715.19	Facility		$2,290.87	$3,548.13	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,778.28	Professional		$851.14	$1,148.15	$1,778.28