Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.91 / $1,639.00 / $4,396.00	Facility		$290.91	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $287.02 / $678.00	Professional		$161.99	$287.02	$678.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.12 / $319.48 / $330.72	Professional		$133.12	$319.48	$330.72
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 $157.32 / $244.56 / $408.96	Professional		$157.32	$244.56	$408.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.73 / $213.73 / $213.73	Facility		$213.73	$213.73	$213.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.05 / $255.66 / $427.12	Professional		$164.05	$255.66	$427.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $163.62 / $253.61 / $450.52	Professional		$163.62	$253.61	$450.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $163.62 / $245.43 / $328.61	Professional		$163.62	$245.43	$328.61
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 $243.81 / $310.01 / $541.17	Professional		$243.81	$310.01	$541.17