Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,698.24 / $5,011.87	Facility		$114.82	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $120.23 / $251.19	Professional		$45.71	$120.23	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $134.90	Professional		$91.20	$109.65	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $112.20 / $190.55	Professional		$47.86	$112.20	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $109.65 / $165.96	Professional		$43.65	$109.65	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $120.23 / $186.21	Professional		$41.69	$120.23	$186.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $144.54 / $181.97	Professional		$56.23	$144.54	$181.97
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $120.23 / $173.78	Professional		$37.15	$120.23	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $112.20 / $190.55	Professional		$48.98	$112.20	$190.55