Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $346.74 / $436.52	Facility		$173.78	$346.74	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $239.88	Professional		$173.78	$173.78	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $181.97 / $549.54	Facility		$173.78	$181.97	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $173.78	Facility		$165.96	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $204.17	Professional		$190.55	$194.98	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Professional		$173.78	$173.78	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Professional		$173.78	$173.78	$204.17