Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.13 / $1,713.00 / $4,473.00	Facility		$220.13	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $189.53 / $373.24	Professional		$101.87	$189.53	$373.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $132.53 / $132.53	Professional		$132.53	$132.53	$132.53
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 $141.02 / $198.61 / $326.73	Professional		$141.02	$198.61	$326.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $143.28 / $143.28	Facility		$143.28	$143.28	$143.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $220.87 / $340.00	Professional		$156.44	$220.87	$340.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $217.17 / $345.19	Professional		$149.83	$217.17	$345.19
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 $157.72 / $220.88 / $236.58	Professional		$157.72	$220.88	$236.58
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 $185.40 / $232.78 / $406.36	Professional		$185.40	$232.78	$406.36