Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.95 / $1,639.00 / $4,396.00	Facility		$172.95	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $147.72 / $306.20	Professional		$79.38	$147.72	$306.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $78.84 / $78.84	Professional		$78.84	$78.84	$78.84
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 $106.35 / $150.47 / $256.14	Professional		$106.35	$150.47	$256.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.11 / $119.11 / $119.11	Facility		$119.11	$119.11	$119.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $169.92 / $255.64	Professional		$112.66	$169.92	$255.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $177.32 / $269.75	Professional		$117.54	$177.32	$269.75
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 $123.14 / $173.29 / $185.60	Professional		$123.14	$173.29	$185.60
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 $150.08 / $183.96 / $321.94	Professional		$150.08	$183.96	$321.94