Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,602.00	Facility		$950.00	$2,173.00	$4,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.11 / $485.60 / $1,902.74	Professional		$384.11	$485.60	$1,902.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $503.40 / $503.40	Professional		$503.40	$503.40	$503.40
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 $470.76 / $585.79 / $877.61	Professional		$470.76	$585.79	$877.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.26 / $1,618.26 / $1,618.26	Facility		$1,618.26	$1,618.26	$1,618.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.90 / $540.45 / $818.74	Professional		$352.90	$540.45	$818.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $585.07 / $1,674.04	Professional		$333.14	$585.07	$1,674.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.04 / $4,232.04 / $4,232.04	Facility		$1,674.04	$4,232.04	$4,232.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $371.13 / $402.72 / $816.48	Professional		$371.13	$402.72	$816.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.84 / $604.00 / $921.07	Professional		$467.84	$604.00	$921.07