Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.04 / $2,138.00 / $4,730.00	Facility		$526.04	$2,138.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.17 / $408.72 / $698.16	Professional		$232.17	$408.72	$698.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $196.38 / $196.51	Professional		$196.38	$196.38	$196.51
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 $220.26 / $310.74 / $481.23	Professional		$220.26	$310.74	$481.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.97 / $869.42 / $929.73	Facility		$665.97	$869.42	$929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $418.61 / $789.07	Professional		$241.06	$418.61	$789.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $433.34 / $858.26	Professional		$180.05	$433.34	$858.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $685.78 / $1,303.09 / $1,303.09	Facility		$685.78	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $300.08 / $804.62	Professional		$200.06	$300.08	$804.62
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.13 / $548.67 / $874.76	Professional		$423.13	$548.67	$874.76