Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $501.19	Professional		$223.87	$269.15	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $239.88	Professional		$223.87	$223.87	$239.88
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 $275.42 / $309.03 / $489.78	Professional		$275.42	$309.03	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $446.68	Professional		$213.80	$269.15	$446.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $295.12 / $446.68	Professional		$2.09	$295.12	$446.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $398.11	Professional		$2.09	$2.09	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $436.52	Professional		$245.47	$269.15	$436.52
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 $229.09 / $275.42 / $478.63	Professional		$229.09	$275.42	$478.63