Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.34 / $1,706.00 / $4,473.00	Facility		$241.34	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $166.59 / $337.90	Professional		$132.55	$166.59	$337.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.92 / $187.92 / $244.47	Professional		$187.92	$187.92	$244.47
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 $116.01 / $153.02 / $206.16	Professional		$116.01	$153.02	$206.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $1,277.64 / $1,277.64	Facility		$1,277.64	$1,277.64	$1,277.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $183.42 / $267.94	Professional		$118.06	$183.42	$267.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $198.63 / $1,311.23	Professional		$101.91	$198.63	$1,311.23
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,520.62 / $2,520.62 / $2,520.62	Facility		$2,520.62	$2,520.62	$2,520.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $169.85 / $294.23	Professional		$113.23	$169.85	$294.23
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $197.67 / $342.46	Professional		$161.83	$197.67	$342.46