Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,585.78 / $14,125.38	Facility		$3,311.31	$7,585.78	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,174.90 / $3,388.44	Professional		$630.96	$1,174.90	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,047.13	Professional		$537.03	$660.69	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,964.78 / $12,882.50	Facility		$7,079.46	$10,964.78	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,412.54	Professional		$602.56	$831.76	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,595.87 / $17,782.79	Facility		$4,073.80	$16,595.87	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,258.93	Professional		$549.54	$794.33	$1,258.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $741.31 / $3,890.45	Professional		$14.79	$741.31	$3,890.45
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $4,786.30	Professional		$933.25	$933.25	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,412.54	Professional		$616.60	$616.60	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,677.35 / $12,022.64	Facility		$1,445.44	$4,677.35	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,202.26	Professional		$588.84	$741.31	$1,202.26