Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.75 / $1,639.00 / $4,396.00	Facility		$409.75	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $109.06 / $257.18	Professional		$61.38	$109.06	$257.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $82.71 / $172.79	Professional		$63.92	$82.71	$172.79
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 $81.25 / $121.64 / $211.83	Professional		$81.25	$121.64	$211.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $109.93 / $109.93	Facility		$109.93	$109.93	$109.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $134.19 / $216.42	Professional		$86.51	$134.19	$216.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $141.46 / $232.84	Professional		$93.68	$141.46	$232.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $140.52 / $169.82	Professional		$93.68	$140.52	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $156.99 / $274.05	Professional		$125.83	$156.99	$274.05