Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $1,639.00 / $4,473.00	Facility		$48.90	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $52.90 / $208.91	Professional		$21.03	$52.90	$208.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $48.62 / $57.20	Professional		$47.83	$48.62	$57.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $50.60 / $68.84	Professional		$22.17	$50.60	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $43.14 / $75.48	Professional		$18.64	$43.14	$75.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $29.19 / $75.30	Professional		$15.73	$29.19	$75.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $17.48 / $72.87	Professional		$0.36	$17.48	$72.87
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $57.38 / $96.14	Professional		$50.09	$57.38	$96.14