Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,884.03 / $5,888.44	Facility		$794.33	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $676.08 / $1,513.56	Professional		$218.78	$676.08	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $660.69	Professional		$104.71	$204.17	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $616.60 / $1,318.26	Professional		$223.87	$616.60	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,698.24	Facility		$1,202.26	$1,621.81	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $602.56 / $1,174.90	Professional		$234.42	$602.56	$1,174.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $724.44 / $1,380.38	Professional		$177.83	$724.44	$1,380.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,202.26 / $1,862.09	Professional		$295.12	$1,202.26	$1,862.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $741.31 / $1,412.54	Professional		$194.98	$741.31	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,456.54	Facility		$724.44	$1,995.26	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $630.96 / $1,148.15	Professional		$229.09	$630.96	$1,148.15