Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.25 / $2,173.00 / $4,473.00	Facility		$497.25	$2,173.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.99 / $273.31 / $534.73	Professional		$195.99	$273.31	$534.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $280.82 / $370.31	Professional		$170.45	$280.82	$370.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.92 / $277.07 / $456.87	Professional		$188.92	$277.07	$456.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $301.14 / $450.08	Professional		$203.03	$301.14	$450.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $347.70 / $852.32	Professional		$213.10	$347.70	$852.32
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $224.32 / $308.58 / $495.45	Professional		$224.32	$308.58	$495.45
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.82 / $326.52 / $571.41	Professional		$235.82	$326.52	$571.41