Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.25 / $1,639.00 / $4,396.00	Facility		$389.25	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $112.06 / $223.33	Professional		$68.28	$112.06	$223.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.77 / $120.77 / $120.77	Professional		$120.77	$120.77	$120.77
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 $61.62 / $99.47 / $173.27	Professional		$61.62	$99.47	$173.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $95.63 / $95.63	Facility		$95.63	$95.63	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $109.66 / $180.93	Professional		$65.98	$109.66	$180.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $117.68 / $192.39	Professional		$75.92	$117.68	$192.39
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 $75.92 / $113.88 / $149.31	Professional		$75.92	$113.88	$149.31
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 $104.98 / $128.82 / $224.91	Professional		$104.98	$128.82	$224.91