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 / $4,730.00	Facility		$950.00	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.87 / $518.26 / $2,845.39	Professional		$281.87	$518.26	$2,845.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,070.21 / $2,070.21 / $2,070.21	Professional		$2,070.21	$2,070.21	$2,070.21
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 $263.33 / $398.66 / $790.11	Professional		$263.33	$398.66	$790.11
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 $280.00 / $528.58 / $4,040.88	Professional		$280.00	$528.58	$4,040.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $685.78 / $3,845.27	Professional		$211.68	$685.78	$3,845.27
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 $235.20 / $352.80 / $2,230.35	Professional		$235.20	$352.80	$2,230.35
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.04 / $2,564.90 / $4,642.39	Professional		$526.04	$2,564.90	$4,642.39