Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,862.09 / $5,011.87	Facility		$162.18	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $257.04	Professional		$102.33	$154.88	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
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 $109.65 / $154.88 / $269.15	Professional		$109.65	$154.88	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $245.47	Professional		$109.65	$165.96	$245.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $269.15	Professional		$109.65	$169.82	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $263.03	Professional		$147.91	$173.78	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $257.04	Professional		$97.72	$173.78	$257.04
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 $112.20 / $162.18 / $257.04	Professional		$112.20	$162.18	$257.04