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 $227.71 / $294.95 / $427.86	Professional		$227.71	$294.95	$427.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.94 / $289.94 / $352.35	Professional		$289.94	$289.94	$352.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.88 / $303.23 / $480.00	Professional		$215.88	$303.23	$480.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $314.00 / $496.13	Professional		$227.38	$314.00	$496.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $229.28 / $369.37 / $1,433.89	Professional		$229.28	$369.37	$1,433.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,163.08 / $3,163.08 / $3,163.08	Facility		$3,163.08	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $241.35 / $318.62 / $504.96	Professional		$241.35	$318.62	$504.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.44 / $346.68 / $606.69	Professional		$271.44	$346.68	$606.69