Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.70 / $1,706.00 / $4,473.00	Facility		$180.70	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $174.56 / $240.50	Professional		$111.35	$174.56	$240.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.60 / $218.60 / $218.60	Professional		$218.60	$218.60	$218.60
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 $112.94 / $161.19 / $254.01	Professional		$112.94	$161.19	$254.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $164.14 / $258.00	Professional		$108.92	$164.14	$258.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $167.95 / $275.56	Professional		$90.51	$167.95	$275.56
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 $1.50 / $117.48 / $182.17	Professional		$1.50	$117.48	$182.17
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 $149.04 / $190.25 / $335.17	Professional		$149.04	$190.25	$335.17