Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $7,762.47	Facility		$1,380.38	$4,897.79	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $724.44 / $2,187.76	Professional		$234.42	$724.44	$2,187.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,023.29 / $1,148.15	Professional		$208.93	$1,023.29	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,332.54 / $13,489.63	Facility		$6,165.95	$9,332.54	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,122.02 / $2,041.74	Professional		$269.15	$1,122.02	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,071.52 / $1,949.84	Professional		$204.17	$1,071.52	$1,949.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,348.96 / $3,311.31	Professional		$245.47	$1,348.96	$3,311.31
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,778.28 / $4,265.80	Professional		$309.03	$1,778.28	$4,265.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,174.90 / $1,174.90	Professional		$204.17	$1,174.90	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $12,022.64	Facility		$2,951.21	$4,786.30	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,071.52 / $2,089.30	Professional		$251.19	$1,071.52	$2,089.30