Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $933.25	Facility		$724.44	$724.44	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,479.11 / $3,981.07	Professional		$691.83	$1,479.11	$3,981.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,778.28	Professional		$776.25	$977.24	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,698.24	Professional		$776.25	$1,202.26	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,380.38	Professional		$575.44	$891.25	$1,380.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $1,023.29 / $1,659.59	Professional		$7.24	$1,023.29	$1,659.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $1,047.13 / $1,548.82	Professional		$4.79	$1,047.13	$1,548.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,023.29	Professional		$691.83	$977.24	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $6,606.93	Facility		$1,071.52	$2,570.40	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,412.54	Professional		$630.96	$912.01	$1,412.54