Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,473.00	Facility		$750.00	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $159.87 / $316.64	Professional		$86.33	$159.87	$316.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $84.98 / $112.06	Professional		$84.98	$84.98	$112.06
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 $114.68 / $162.60 / $275.77	Professional		$114.68	$162.60	$275.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $129.66 / $129.66	Facility		$129.66	$129.66	$129.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $183.34 / $278.22	Professional		$127.75	$183.34	$278.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $188.31 / $291.37	Professional		$128.54	$188.31	$291.37
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 $130.77 / $186.77 / $202.95	Professional		$130.77	$186.77	$202.95
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 $162.21 / $194.65 / $342.10	Professional		$162.21	$194.65	$342.10