Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,238.72 / $5,011.87	Facility		$208.93	$2,238.72	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $758.58	Professional		$128.82	$199.53	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $204.17	Professional		$138.04	$199.53	$204.17
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 $147.91 / $257.04 / $407.38	Professional		$147.91	$257.04	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $331.13	Professional		$134.90	$194.98	$331.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $354.81	Professional		$131.83	$208.93	$354.81
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $338.84	Professional		$190.55	$263.03	$338.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $223.87	Professional		$125.89	$223.87	$223.87
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 $138.04 / $213.80 / $338.84	Professional		$138.04	$213.80	$338.84