Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,454.71 / $5,011.87	Facility		$616.60	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $954.99	Professional		$436.52	$645.65	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
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 $407.38 / $446.68 / $912.01	Professional		$407.38	$446.68	$912.01
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 $363.08 / $630.96 / $1,096.48	Professional		$363.08	$630.96	$1,096.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,412.54	Professional		$436.52	$724.44	$1,412.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,698.24	Professional		$549.54	$912.01	$1,698.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $602.56	Professional		$363.08	$602.56	$602.56
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 $416.87 / $588.84 / $1,000.00	Professional		$416.87	$588.84	$1,000.00