Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $5,888.44	Facility		$1,148.15	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,187.76	Professional		$870.96	$1,148.15	$2,187.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,230.27 / $3,311.31	Professional	50	$1,230.27	$1,230.27	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
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 $851.14 / $1,071.52 / $1,778.28	Professional		$851.14	$1,071.52	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,737.80	Professional		$741.31	$1,071.52	$1,737.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,290.87	Professional		$912.01	$1,479.11	$2,290.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,691.53	Professional		$1,348.96	$1,348.96	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $977.24	Professional		$912.01	$912.01	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,737.80	Professional		$776.25	$977.24	$1,737.80