Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,238.72 / $5,011.87	Facility		$812.83	$2,238.72	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $794.33 / $3,467.37	Professional		$199.53	$794.33	$3,467.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $645.65	Professional		$81.28	$190.55	$645.65
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 $194.98 / $616.60 / $1,318.26	Professional		$194.98	$616.60	$1,318.26
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 / $575.44 / $1,445.44	Professional		$181.97	$575.44	$1,445.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $758.58 / $2,089.30	Professional		$173.78	$758.58	$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 $257.04 / $1,148.15 / $2,691.53	Professional		$257.04	$1,148.15	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $758.58 / $758.58	Professional		$173.78	$758.58	$758.58
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 $190.55 / $512.86 / $1,445.44	Professional		$190.55	$512.86	$1,445.44