Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,082.04 / $4,396.00	Facility		$375.00	$1,082.04	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $461.90 / $1,748.92	Professional		$89.10	$461.90	$1,748.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $82.76 / $761.13	Professional		$82.76	$82.76	$761.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $968.97 / $2,607.32	Professional		$102.18	$968.97	$2,607.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $135.19 / $1,629.16 / $2,829.12	Professional	50	$135.19	$1,629.16	$2,829.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $925.24 / $1,854.95	Professional		$92.84	$925.24	$1,854.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $134.93 / $1,565.50	Professional		$69.39	$134.93	$1,565.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $115.65 / $1,342.37	Professional		$1.38	$115.65	$1,342.37
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $1,277.00 / $1,998.00	Facility		$119.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,154.78 / $1,631.20 / $2,448.46	Professional		$1,154.78	$1,631.20	$2,448.46