Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.02 / $1,639.00 / $4,730.00	Facility		$320.02	$1,639.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $269.58 / $521.00	Professional		$87.09	$269.58	$521.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.15 / $126.11	Professional		$98.15	$98.15	$126.11
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 $96.65 / $225.03 / $463.17	Professional		$96.65	$225.03	$463.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $972.88 / $1,040.35	Facility		$745.22	$972.88	$1,040.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $228.01 / $490.71	Professional		$93.35	$228.01	$490.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $295.85 / $778.36	Professional		$68.00	$295.85	$778.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $113.34 / $430.80	Professional		$75.56	$113.34	$430.80
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 $265.50 / $352.77 / $574.13	Professional		$265.50	$352.77	$574.13