Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.68 / $1,639.00 / $4,396.00	Facility		$228.68	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $79.20 / $300.98	Professional		$65.48	$79.20	$300.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $76.36 / $195.76	Professional		$76.36	$76.36	$195.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $81.45 / $132.96	Professional		$56.70	$81.45	$132.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $85.87 / $140.51	Professional		$60.30	$85.87	$140.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $93.70 / $140.44	Professional		$61.86	$93.70	$140.44
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $74.95 / $103.10	Professional		$0.54	$74.95	$103.10
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 $67.39 / $90.72 / $158.77	Professional		$67.39	$90.72	$158.77