Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $3,042.00 / $6,408.00	Facility		$770.00	$3,042.00	$6,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.34 / $654.88 / $2,748.00	Professional		$517.34	$654.88	$2,748.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $523.34 / $523.34 / $523.34	Professional		$523.34	$523.34	$523.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.13 / $752.67 / $945.50	Professional		$634.13	$752.67	$945.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.50 / $798.65 / $1,268.86	Professional		$525.50	$798.65	$1,268.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $682.66 / $1,889.33	Professional		$15.92	$682.66	$1,889.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $550.88 / $2,576.36	Professional		$11.94	$550.88	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,148.00	Facility		$1,642.00	$3,060.00	$9,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.27 / $740.51 / $1,026.23	Professional		$534.27	$740.51	$1,026.23