Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,570.40 / $5,888.44	Facility		$562.34	$2,570.40	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $2,137.96	Professional		$338.84	$537.03	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $354.81 / $416.87	Professional		$154.88	$354.81	$416.87
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 $338.84 / $524.81 / $933.25	Professional		$338.84	$524.81	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,041.74	Facility		$1,479.11	$1,995.26	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $891.25	Professional		$338.84	$512.86	$891.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $549.54 / $1,479.11	Professional		$281.84	$549.54	$1,479.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $2,238.72	Professional		$512.86	$870.96	$2,238.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $933.25	Professional		$346.74	$575.44	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,187.76 / $4,265.80	Facility		$891.25	$2,187.76	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $812.83	Professional		$323.59	$489.78	$812.83