Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,454.71 / $5,011.87	Facility		$416.87	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $2,089.30	Professional		$239.88	$416.87	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
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 $239.88 / $354.81 / $512.86	Professional		$239.88	$354.81	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $602.56	Professional		$234.42	$380.19	$602.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $1,513.56	Professional		$234.42	$467.74	$1,513.56
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,949.84	Professional		$354.81	$602.56	$1,949.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $407.38	Professional		$234.42	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $616.60	Professional		$251.19	$398.11	$616.60