Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.65 / $2,173.00 / $4,730.00	Facility		$909.65	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $122.79 / $225.11	Professional		$86.56	$122.79	$225.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $117.00 / $117.00	Professional		$117.00	$117.00	$117.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $117.12 / $195.36	Professional		$79.79	$117.12	$195.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.50 / $105.50 / $105.50	Facility		$105.50	$105.50	$105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $128.76 / $203.36	Professional		$85.82	$128.76	$203.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $140.13 / $213.57	Professional		$97.31	$140.13	$213.57
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $777.59 / $777.59 / $777.59	Facility		$777.59	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $137.51 / $164.04	Professional		$97.31	$137.51	$164.04
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 $116.73 / $143.28 / $250.12	Professional		$116.73	$143.28	$250.12