Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $1,949.84	Facility		$776.25	$1,548.82	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $1,258.93	Professional		$707.95	$776.25	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $812.83 / $2,454.71	Facility		$776.25	$812.83	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $776.25 / $776.25	Facility		$707.95	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,258.93	Professional		$851.14	$851.14	$1,258.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,258.93	Professional		$776.25	$776.25	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $933.25	Professional		$776.25	$776.25	$933.25