Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.50 / $2,173.00 / $4,730.00	Facility		$994.50	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $342.85 / $481.59	Professional		$207.47	$342.85	$481.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.01 / $505.96 / $505.96	Professional		$385.01	$505.96	$505.96
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 $195.70 / $352.80 / $663.64	Professional		$195.70	$352.80	$663.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.87 / $1,920.23 / $2,053.42	Facility		$1,470.87	$1,920.23	$2,053.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.47 / $344.59 / $608.83	Professional		$209.47	$344.59	$608.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $380.25 / $1,720.20	Professional		$3.96	$380.25	$1,720.20
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.83 / $3,030.83 / $3,030.83	Facility		$1,495.83	$3,030.83	$3,030.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $370.67 / $2,243.75	Professional		$2.64	$370.67	$2,243.75
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,331.00 / $7,138.00	Facility		$888.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.63 / $390.96 / $662.44	Professional		$265.63	$390.96	$662.44