Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $1,905.46	Facility		$758.58	$1,548.82	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,737.80 / $3,630.78	Professional		$758.58	$1,737.80	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $776.25 / $776.25	Professional		$758.58	$776.25	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $794.33 / $2,454.71	Facility		$758.58	$794.33	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $776.25 / $776.25	Professional		$758.58	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $794.33	Facility		$758.58	$758.58	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,258.93	Professional		$1,023.29	$1,023.29	$1,258.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,096.48	Professional		$758.58	$758.58	$1,096.48