Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,454.71 / $5,011.87	Facility		$630.96	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $1,380.38	Professional		$263.03	$537.03	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
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 $269.15 / $588.84 / $1,000.00	Professional		$269.15	$588.84	$1,000.00
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 $269.15 / $501.19 / $1,412.54	Professional		$269.15	$501.19	$1,412.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $588.84 / $2,137.96	Professional		$229.09	$588.84	$2,137.96
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 $338.84 / $891.25 / $2,691.53	Professional		$338.84	$891.25	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $588.84 / $588.84	Professional		$229.09	$588.84	$588.84
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 $275.42 / $524.81 / $1,621.81	Professional		$275.42	$524.81	$1,621.81