Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.63 / $2,173.00 / $4,841.00	Facility		$343.63	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $281.14 / $414.58	Professional		$158.88	$281.14	$414.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $407.86 / $407.86	Professional		$262.89	$407.86	$407.86
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 $198.40 / $276.54 / $482.63	Professional		$198.40	$276.54	$482.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.41 / $345.41 / $345.41	Facility		$345.41	$345.41	$345.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.75 / $301.64 / $477.03	Professional		$205.75	$301.64	$477.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $196.36 / $296.50 / $527.23	Professional		$196.36	$296.50	$527.23
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $196.36 / $294.54 / $349.31	Professional		$196.36	$294.54	$349.31
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 $271.44 / $358.16 / $638.83	Professional		$271.44	$358.16	$638.83