Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $5,888.44	Facility		$2,137.96	$2,818.38	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,174.90 / $3,630.78	Professional		$223.87	$1,174.90	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $245.47	Professional		$173.78	$186.21	$245.47
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 $245.47 / $724.44 / $4,466.84	Professional		$245.47	$724.44	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $2,454.71 / $3,548.13	Professional		$223.87	$2,454.71	$3,548.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $2,570.40 / $5,248.07	Professional		$223.87	$2,570.40	$5,248.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $2,818.38 / $6,760.83	Professional		$281.84	$2,818.38	$6,760.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,862.09 / $1,862.09	Professional		$186.21	$1,862.09	$1,862.09
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 $245.47 / $1,995.26 / $3,890.45	Professional		$245.47	$1,995.26	$3,890.45