Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,884.03 / $5,754.40	Facility		$891.25	$2,884.03	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $776.25 / $1,479.11	Professional		$194.98	$776.25	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $363.08	Professional		$158.49	$190.55	$363.08
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 $204.17 / $691.83 / $1,513.56	Professional		$204.17	$691.83	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,258.93	Facility		$912.01	$1,230.27	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $691.83 / $1,479.11	Professional		$213.80	$691.83	$1,479.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $912.01 / $1,258.93	Professional		$158.49	$912.01	$1,258.93
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,174.90 / $1,412.54	Professional		$263.03	$1,174.90	$1,412.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $794.33 / $1,412.54	Professional		$177.83	$794.33	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,949.84 / $6,309.57	Facility		$724.44	$1,949.84	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $794.33 / $1,479.11	Professional		$208.93	$794.33	$1,479.11