Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.28 / $1,996.00 / $4,396.00	Facility		$535.28	$1,996.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.01 / $296.45 / $1,020.00	Professional		$191.01	$296.45	$1,020.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $135.85 / $310.38	Professional		$93.61	$135.85	$310.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.74 / $350.46 / $830.56	Professional		$215.74	$350.46	$830.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.22 / $1,186.98 / $1,269.31	Facility		$909.22	$1,186.98	$1,269.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.25 / $315.82 / $798.50	Professional		$189.25	$315.82	$798.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $299.06 / $1,027.25	Professional		$111.08	$299.06	$1,027.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.86 / $2,096.52 / $2,096.52	Facility		$933.86	$2,096.52	$2,096.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $170.89 / $256.33 / $816.53	Professional		$170.89	$256.33	$816.53
United Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $1,967.00 / $3,793.98	Facility		$634.00	$1,967.00	$3,793.98
United Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $488.88 / $855.55	Professional		$218.46	$488.88	$855.55