Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,786.30 / $7,762.47	Facility		$2,137.96	$4,786.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,691.53	Professional		$1,047.13	$1,288.25	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,380.38	Professional		$851.14	$954.99	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $8,128.31	Facility		$4,570.88	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,137.96	Professional		$1,000.00	$1,288.25	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $2,630.27	Professional		$870.96	$1,412.54	$2,630.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $2,884.03	Professional		$870.96	$1,513.56	$2,884.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $3,467.37	Professional		$1,288.25	$1,288.25	$3,467.37
Select Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $977.24	Professional		$870.96	$870.96	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $10,715.19	Facility		$2,290.87	$3,548.13	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,862.09	Professional		$1,000.00	$1,318.26	$1,862.09