Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,454.71 / $5,011.87	Facility		$954.99	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $1,412.54	Professional		$245.47	$295.12	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
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 $275.42 / $354.81 / $562.34	Professional		$275.42	$354.81	$562.34
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 $251.19 / $309.03 / $457.09	Professional		$251.19	$309.03	$457.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $281.84 / $2,137.96	Professional		$97.72	$281.84	$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 $147.91 / $346.74 / $2,691.53	Professional		$147.91	$346.74	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $234.42 / $257.04	Professional		$97.72	$234.42	$257.04
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 $251.19 / $331.13 / $467.74	Professional		$251.19	$331.13	$467.74