Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,454.71 / $5,011.87	Facility		$891.25	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.54 / $1,348.96	Professional		$229.09	$549.54	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $275.42	Professional		$128.82	$218.78	$275.42
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 $208.93 / $501.19 / $1,380.38	Professional		$208.93	$501.19	$1,380.38
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 $234.42 / $562.34 / $1,445.44	Professional		$234.42	$562.34	$1,445.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $691.83 / $1,174.90	Professional		$186.21	$691.83	$1,174.90
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 $309.03 / $1,023.29 / $1,348.96	Professional		$309.03	$1,023.29	$1,348.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $831.76 / $1,412.54	Professional		$204.17	$831.76	$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 $234.42 / $645.65 / $1,230.27	Professional		$234.42	$645.65	$1,230.27