Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,706.00 / $4,473.00	Facility		$911.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $1,117.89 / $1,746.87	Professional		$57.83	$1,117.89	$1,746.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,217.32 / $1,217.32 / $1,217.32	Professional		$1,217.32	$1,217.32	$1,217.32
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 $59.37 / $82.90 / $1,416.36	Professional		$59.37	$82.90	$1,416.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,805.86 / $2,124.54 / $2,360.61	Professional	50	$1,805.86	$2,124.54	$2,360.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $1,144.00 / $1,724.09	Professional		$55.99	$1,144.00	$1,724.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $96.04 / $2,131.37	Professional		$31.97	$96.04	$2,131.37
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,070.41 / $1,070.41 / $1,070.41	Facility		$1,070.41	$1,070.41	$1,070.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $41.85 / $1,217.32	Professional		$1.26	$41.85	$1,217.32
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 $1,191.90 / $1,469.44 / $2,637.69	Professional		$1,191.90	$1,469.44	$2,637.69