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 $79.43 / $181.97 / $446.68	Professional		$79.43	$181.97	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $109.65	Professional		$58.88	$70.79	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $177.83	Professional		$83.18	$117.49	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $354.81	Professional		$91.20	$186.21	$354.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $165.96 / $269.15	Professional		$53.70	$165.96	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $107.15 / $269.15	Professional		$1.82	$107.15	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $177.83 / $177.83	Professional		$70.79	$177.83	$177.83
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 $87.10 / $181.97 / $331.13	Professional		$87.10	$181.97	$331.13