Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.12 / $2,173.00 / $4,730.00	Facility		$637.12	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $609.41 / $955.47	Professional		$134.38	$609.41	$955.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $509.06 / $509.06 / $509.06	Professional		$509.06	$509.06	$509.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $662.86 / $993.47	Professional		$155.44	$662.86	$993.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.29 / $397.29 / $397.29	Facility		$397.29	$397.29	$397.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $592.84 / $869.31	Professional		$124.74	$592.84	$869.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $405.72 / $936.44	Professional		$116.30	$405.72	$936.44
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $777.59 / $777.59 / $777.59	Facility		$777.59	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $174.45 / $608.58	Professional		$116.30	$174.45	$608.58
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.02 / $795.40 / $1,192.04	Professional		$596.02	$795.40	$1,192.04