Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $1,148.15	Professional		$346.74	$467.74	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $416.87	Professional		$165.96	$363.08	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $8,317.64	Facility		$5,128.61	$8,128.31	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $741.31	Professional		$398.11	$562.34	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $630.96	Professional		$338.84	$436.52	$630.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $6,918.31	Professional		$363.08	$537.03	$6,918.31
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 $489.78 / $489.78 / $6,918.31	Professional		$489.78	$489.78	$6,918.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
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 $338.84 / $549.54 / $707.95	Professional		$338.84	$549.54	$707.95