Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,454.71 / $5,011.87	Facility		$954.99	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $4,168.69	Professional		$263.03	$562.34	$4,168.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $281.84	Professional		$223.87	$257.04	$281.84
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 $245.47 / $371.54 / $1,148.15	Professional		$245.47	$371.54	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $891.25	Facility		$660.69	$660.69	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $575.44 / $4,073.80	Professional		$281.84	$575.44	$4,073.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,148.15 / $3,890.45	Professional		$223.87	$1,148.15	$3,890.45
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 $354.81 / $1,023.29 / $3,981.07	Professional		$354.81	$1,023.29	$3,981.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $2,454.71 / $4,677.35	Professional		$234.42	$2,454.71	$4,677.35
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 $275.42 / $549.54 / $3,715.35	Professional		$275.42	$549.54	$3,715.35