Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.25 / $1,639.00 / $4,396.00	Facility		$374.25	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $149.28 / $325.43	Professional		$85.85	$149.28	$325.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $211.31 / $211.31	Professional		$81.55	$211.31	$211.31
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 $113.62 / $164.88 / $281.08	Professional		$113.62	$164.88	$281.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.02 / $131.02 / $131.02	Facility		$131.02	$131.02	$131.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.16 / $187.35 / $277.01	Professional		$122.16	$187.35	$277.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $193.36 / $299.69	Professional		$127.57	$193.36	$299.69
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 $134.28 / $191.70 / $207.17	Professional		$134.28	$191.70	$207.17
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 $160.69 / $200.85 / $351.54	Professional		$160.69	$200.85	$351.54