Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,265.80 / $10,232.93	Facility		$2,754.23	$4,265.80	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $3,890.45	Professional		$724.44	$954.99	$3,890.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $794.33	Professional		$489.78	$512.86	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $8,128.31	Facility		$4,570.88	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,659.59	Professional		$758.58	$977.24	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,348.96	Professional		$676.08	$933.25	$1,348.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $4,265.80	Professional		$524.81	$776.25	$4,265.80
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $4,265.80	Professional		$776.25	$776.25	$4,265.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $691.83	Professional		$524.81	$524.81	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $10,715.19	Facility		$2,290.87	$3,548.13	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,288.25	Professional		$707.95	$954.99	$1,288.25