Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $5,011.87	Facility		$776.25	$2,238.72	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $660.69 / $1,096.48	Professional		$173.78	$660.69	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $181.97	Professional		$165.96	$165.96	$181.97
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 $199.53 / $575.44 / $1,258.93	Professional		$199.53	$575.44	$1,258.93
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 $181.97 / $537.03 / $1,479.11	Professional		$181.97	$537.03	$1,479.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $741.31 / $2,089.30	Professional		$147.91	$741.31	$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 $223.87 / $1,096.48 / $2,691.53	Professional		$223.87	$1,096.48	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $724.44 / $724.44	Professional		$147.91	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $489.78 / $1,548.82	Professional		$181.97	$489.78	$1,548.82