Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,174.90	Professional		$575.44	$707.95	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Facility		$1,778.28	$1,778.28	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $812.83 / $1,023.29	Professional		$794.33	$812.83	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $2,511.89	Facility		$630.96	$831.76	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,148.15	Professional		$602.56	$602.56	$1,148.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $3,162.28	Professional		$1,000.00	$1,778.28	$3,162.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $1,778.28	Professional		$1,318.26	$1,778.28	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $645.65 / $1,348.96	Facility		$501.19	$645.65	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $1,621.81	Professional		$512.86	$933.25	$1,621.81