Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $5,370.32	Professional		$954.99	$1,548.82	$5,370.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
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 $1,174.90 / $1,548.82 / $2,398.83	Professional		$1,174.90	$1,548.82	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,949.84	Professional		$891.25	$1,258.93	$1,949.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $1,230.27 / $1,819.70	Professional		$11.48	$1,230.27	$1,819.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $1,548.82	Professional		$10.00	$10.00	$1,548.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,096.48	Professional		$1,023.29	$1,023.29	$1,096.48
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 $977.24 / $1,230.27 / $1,949.84	Professional		$977.24	$1,230.27	$1,949.84