Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $1,639.00 / $4,396.00	Facility		$784.00	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $105.90 / $286.42	Professional		$68.22	$105.90	$286.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $86.90 / $98.77	Professional		$64.20	$86.90	$98.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $135.36 / $233.15	Professional		$89.29	$135.36	$233.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.13 / $120.13 / $120.13	Facility		$120.13	$120.13	$120.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $150.43 / $240.99	Professional		$95.07	$150.43	$240.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $153.40 / $256.89	Professional		$101.59	$153.40	$256.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $777.59 / $777.59 / $777.59	Facility		$777.59	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $152.38 / $185.60	Professional		$101.59	$152.38	$185.60
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $169.05 / $304.29	Professional		$132.84	$169.05	$304.29