Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.03 / $2,173.00 / $4,730.00	Facility		$168.03	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $138.72 / $288.45	Professional		$70.75	$138.72	$288.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.24 / $152.24 / $200.75	Professional		$152.24	$152.24	$200.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $147.44 / $248.97	Professional		$103.48	$147.44	$248.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.78 / $118.78 / $118.78	Facility		$118.78	$118.78	$118.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $163.61 / $248.41	Professional		$115.37	$163.61	$248.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $171.72 / $260.83	Professional		$117.21	$171.72	$260.83
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 $119.25 / $167.29 / $185.07	Professional		$119.25	$167.29	$185.07
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 $130.38 / $176.12 / $959.00	Professional		$130.38	$176.12	$959.00