Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,454.71 / $5,011.87	Facility		$776.25	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,348.96	Professional		$512.86	$812.83	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $691.83	Professional		$512.86	$512.86	$691.83
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 $501.19 / $562.34 / $1,047.13	Professional		$501.19	$562.34	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,071.52	Professional		$467.74	$758.58	$1,071.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,412.54	Professional		$575.44	$891.25	$1,412.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,698.24	Professional		$707.95	$1,122.02	$1,698.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $741.31	Professional		$478.63	$741.31	$741.31
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 $501.19 / $724.44 / $1,148.15	Professional		$501.19	$724.44	$1,148.15