Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,841.00	Facility		$950.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $195.36 / $303.16	Professional		$133.47	$195.36	$303.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.30 / $323.30 / $323.30	Professional		$323.30	$323.30	$323.30
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 $142.11 / $197.47 / $334.68	Professional		$142.11	$197.47	$334.68
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 $158.09 / $223.24 / $338.37	Professional		$158.09	$223.24	$338.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $259.81 / $852.32	Professional		$163.01	$259.81	$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 $163.01 / $230.93 / $362.87	Professional		$163.01	$230.93	$362.87
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 $191.01 / $241.04 / $422.73	Professional		$191.01	$241.04	$422.73