Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $5,128.61	Professional		$1,071.52	$1,380.38	$5,128.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
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 / $1,862.09 / $2,630.27	Professional		$1,174.90	$1,862.09	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,290.87	Professional		$1,047.13	$1,479.11	$2,290.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $1,479.11 / $2,137.96	Professional		$15.14	$1,479.11	$2,137.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $1,819.70	Professional		$12.88	$12.88	$1,819.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,318.26	Professional		$1,230.27	$1,230.27	$1,318.26
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 $1,174.90 / $1,479.11 / $2,344.23	Professional		$1,174.90	$1,479.11	$2,344.23