Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.30 / $1,639.00 / $4,473.00	Facility		$234.30	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $162.88 / $309.76	Professional		$103.84	$162.88	$309.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $129.12 / $133.78	Professional		$129.12	$129.12	$133.78
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 $130.85 / $201.77 / $329.31	Professional		$130.85	$201.77	$329.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.38 / $164.38 / $164.38	Facility		$164.38	$164.38	$164.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $216.62 / $363.07	Professional		$136.88	$216.62	$363.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $203.93 / $360.94	Professional		$135.05	$203.93	$360.94
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $202.58 / $249.75	Professional		$135.05	$202.58	$249.75
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $254.03 / $442.27	Professional		$194.76	$254.03	$442.27