Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $6,052.38	Facility		$750.00	$1,706.00	$6,052.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $170.56 / $337.72	Professional		$83.28	$170.56	$337.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $90.75 / $119.68	Professional		$77.14	$90.75	$119.68
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 $123.85 / $172.84 / $292.06	Professional		$123.85	$172.84	$292.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.71 / $131.71 / $131.71	Facility		$131.71	$131.71	$131.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $194.44 / $300.00	Professional		$136.91	$194.44	$300.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $200.00 / $313.14	Professional		$135.08	$200.00	$313.14
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 $142.19 / $199.46 / $213.29	Professional		$142.19	$199.46	$213.29
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 $175.10 / $209.68 / $366.03	Professional		$175.10	$209.68	$366.03