Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,862.09 / $5,011.87	Facility		$107.15	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $398.11	Professional		$72.44	$104.71	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $64.57	Professional		$36.31	$36.31	$64.57
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 $79.43 / $102.33 / $165.96	Professional		$79.43	$102.33	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $177.83	Professional		$79.43	$117.49	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $173.78	Professional		$63.10	$107.15	$173.78
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $162.18	Professional		$81.28	$97.72	$162.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $107.15	Professional		$64.57	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,905.46 / $4,786.30	Facility		$407.38	$1,905.46	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $181.97	Professional		$79.43	$117.49	$181.97