Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,862.09 / $5,011.87	Facility		$239.88	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $1,148.15	Professional		$169.82	$239.88	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $398.11	Professional		$165.96	$263.03	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $363.08	Professional		$158.49	$239.88	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $891.25	Professional		$162.18	$269.15	$891.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $1,174.90	Professional		$245.47	$371.54	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $245.47	Professional		$162.18	$234.42	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $371.54	Professional		$165.96	$245.47	$371.54