Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $7,762.47	Facility		$1,548.82	$4,897.79	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,380.38 / $2,454.71	Professional		$309.03	$1,380.38	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $1,258.93	Professional		$128.82	$131.83	$1,258.93
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 $331.13 / $1,348.96 / $2,344.23	Professional		$331.13	$1,348.96	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,288.25 / $2,238.72	Professional		$281.84	$1,288.25	$2,238.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,548.82 / $4,168.69	Professional		$309.03	$1,548.82	$4,168.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,949.84 / $5,495.41	Professional		$380.19	$1,949.84	$5,495.41
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,288.25 / $1,288.25	Professional		$257.04	$1,288.25	$1,288.25
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 $316.23 / $1,258.93 / $2,344.23	Professional		$316.23	$1,258.93	$2,344.23