Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.96 / $1,639.00 / $4,396.00	Facility		$249.96	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $122.66 / $240.91	Professional		$28.03	$122.66	$240.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $26.50 / $26.50	Professional		$26.50	$26.50	$26.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $130.18 / $225.82	Professional		$35.25	$130.18	$225.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.07 / $137.07 / $137.07	Facility		$137.07	$137.07	$137.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $138.16 / $256.68	Professional		$31.85	$138.16	$256.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $123.56 / $219.55	Professional		$23.33	$123.56	$219.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $267.14 / $267.14 / $267.14	Facility		$267.14	$267.14	$267.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $38.09 / $205.94	Professional		$0.30	$38.09	$205.94
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $199.82 / $308.14	Professional		$117.87	$199.82	$308.14