Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,238.72 / $5,011.87	Facility		$457.09	$2,238.72	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $1,905.46	Professional		$288.40	$436.52	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $812.83	Professional		$117.49	$117.49	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $7,762.47	Facility		$3,715.35	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $758.58	Professional		$295.12	$467.74	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $676.08	Professional		$295.12	$416.87	$676.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $2,089.30	Professional		$251.19	$436.52	$2,089.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $2,691.53	Professional		$371.54	$630.96	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $416.87	Professional		$251.19	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $676.08	Professional		$295.12	$436.52	$676.08