Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.28 / $1,706.00 / $4,730.00	Facility		$412.28	$1,706.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.45 / $913.00 / $1,232.43	Professional		$346.45	$913.00	$1,232.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.95 / $394.60 / $562.63	Professional		$323.95	$394.60	$562.63
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 $296.33 / $394.64 / $708.07	Professional		$296.33	$394.64	$708.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $425.05 / $500.06 / $555.63	Professional	50	$425.05	$500.06	$555.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.40 / $181.40 / $181.40	Facility		$181.40	$181.40	$181.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.18 / $807.18 / $1,380.69	Professional		$341.18	$807.18	$1,380.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $373.19 / $1,129.18	Professional		$176.03	$373.19	$1,129.18
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $606.29 / $606.29 / $606.29	Facility		$606.29	$606.29	$606.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $251.99 / $293.39 / $377.99	Professional		$251.99	$293.39	$377.99
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.95 / $609.22 / $1,242.08	Professional		$323.95	$609.22	$1,242.08