Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $1,288.25	Professional		$331.13	$389.05	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
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 $380.19 / $524.81 / $676.08	Professional		$380.19	$524.81	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $724.44	Professional		$302.00	$446.68	$724.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $436.52 / $1,202.26	Professional		$7.94	$436.52	$1,202.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,479.11	Professional		$549.54	$549.54	$1,479.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $691.83	Professional		$363.08	$363.08	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $588.84	Professional		$302.00	$398.11	$588.84