Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,698.24 / $5,011.87	Facility		$131.83	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $251.19	Professional		$79.43	$128.82	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $134.90	Professional		$97.72	$123.03	$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 $79.43 / $125.89 / $213.80	Professional		$79.43	$125.89	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $213.80	Professional		$85.11	$134.90	$213.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $223.87	Professional		$87.10	$138.04	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $218.78	Professional		$117.49	$123.03	$218.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $208.93	Professional		$77.62	$144.54	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $223.87	Professional		$91.20	$138.04	$223.87