Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,862.09 / $5,011.87	Facility		$758.58	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $954.99	Professional		$501.19	$660.69	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
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 $512.86 / $616.60 / $1,096.48	Professional		$512.86	$616.60	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,096.48	Professional		$457.09	$660.69	$1,096.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,621.81	Professional		$524.81	$870.96	$1,621.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,949.84	Professional		$776.25	$776.25	$1,949.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $575.44	Professional		$524.81	$524.81	$575.44
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 $478.63 / $602.56 / $1,047.13	Professional		$478.63	$602.56	$1,047.13