Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,168.69 / $6,918.31	Facility		$1,348.96	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,096.48	Professional		$489.78	$630.96	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
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 $501.19 / $707.95 / $1,174.90	Professional		$501.19	$707.95	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,041.74	Facility		$1,995.26	$1,995.26	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,071.52	Professional		$446.68	$645.65	$1,071.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $691.83 / $1,819.70	Professional		$7.24	$691.83	$1,819.70
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 $870.96 / $870.96 / $2,238.72	Professional		$870.96	$870.96	$2,238.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,096.48	Professional		$575.44	$575.44	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,187.76 / $7,244.36	Facility		$891.25	$2,187.76	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,023.29	Professional		$467.74	$602.56	$1,023.29