Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,454.71 / $5,011.87	Facility		$724.44	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $602.56 / $1,348.96	Professional		$251.19	$602.56	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Professional		$218.78	$218.78	$257.04
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 $234.42 / $363.08 / $660.69	Professional		$234.42	$363.08	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $933.25	Facility		$660.69	$891.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $1,122.02	Professional		$269.15	$537.03	$1,122.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $630.96 / $1,023.29	Professional		$213.80	$630.96	$1,023.29
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,023.29 / $1,096.48	Professional		$338.84	$1,023.29	$1,096.48
Select Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $676.08 / $1,288.25	Professional		$223.87	$676.08	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,949.84 / $6,309.57	Facility		$724.44	$1,949.84	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $562.34 / $1,023.29	Professional		$269.15	$562.34	$1,023.29