Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,981.07 / $7,762.47	Facility		$1,548.82	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $3,981.07	Professional		$1,148.15	$1,318.26	$3,981.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,182.57 / $17,378.01	Facility		$7,943.28	$13,182.57	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,691.53	Professional		$1,380.38	$1,819.70	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,187.76	Professional		$1,122.02	$1,479.11	$2,187.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $5,011.87	Professional		$1,047.13	$1,513.56	$5,011.87
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $5,011.87	Professional		$1,698.24	$1,698.24	$5,011.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,258.93	Professional		$1,122.02	$1,122.02	$1,258.93
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 $1,202.26 / $1,548.82 / $2,344.23	Professional		$1,202.26	$1,548.82	$2,344.23