Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.99 / $1,508.00 / $4,396.00	Facility		$446.99	$1,508.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $268.88 / $391.05	Professional		$143.44	$268.88	$391.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $171.37 / $181.76	Professional		$166.90	$171.37	$181.76
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 $174.21 / $248.90 / $427.08	Professional		$174.21	$248.90	$427.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.01 / $211.01 / $211.01	Facility		$211.01	$211.01	$211.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.19 / $267.58 / $413.70	Professional		$173.19	$267.58	$413.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $170.85 / $260.77 / $468.51	Professional		$170.85	$260.77	$468.51
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 $170.85 / $256.27 / $325.98	Professional		$170.85	$256.27	$325.98
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 $240.48 / $312.89 / $546.22	Professional		$240.48	$312.89	$546.22