Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.25 / $1,639.00 / $4,396.00	Facility		$389.25	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $135.38 / $564.00	Professional		$116.40	$135.38	$564.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.46 / $162.46 / $283.20	Professional		$162.46	$162.46	$283.20
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 $143.94 / $164.50 / $236.47	Professional		$143.94	$164.50	$236.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $148.46 / $223.37	Professional		$112.94	$148.46	$223.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $162.97 / $247.99	Professional		$3.35	$162.97	$247.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $119.65 / $212.57	Professional		$2.27	$119.65	$212.57
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 $141.05 / $176.83 / $248.89	Professional		$141.05	$176.83	$248.89