Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,862.09 / $5,011.87	Facility		$194.98	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $346.74	Professional		$107.15	$177.83	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
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 / $147.91 / $213.80	Professional		$109.65	$147.91	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $275.42	Professional		$97.72	$169.82	$275.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $302.00	Professional		$102.33	$186.21	$302.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $281.84	Professional		$151.36	$204.17	$281.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $186.21	Professional		$102.33	$186.21	$186.21
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 $104.71 / $181.97 / $281.84	Professional		$104.71	$181.97	$281.84