Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $4,365.16 / $10,232.93	Facility		$74.13	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $416.87	Professional		$74.13	$97.72	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $89.13	Professional		$63.10	$85.11	$89.13
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 $75.86 / $104.71 / $154.88	Professional		$75.86	$104.71	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $144.54	Professional		$69.18	$95.50	$144.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $151.36	Professional		$61.66	$93.33	$151.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $141.25	Professional		$81.28	$100.00	$141.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $93.33	Professional		$67.61	$91.20	$93.33
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 $74.13 / $100.00 / $147.91	Professional		$74.13	$100.00	$147.91