Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.12 / $1,706.00 / $4,473.00	Facility		$267.12	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $226.51 / $433.23	Professional		$118.80	$226.51	$433.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.61 / $161.61 / $161.61	Professional		$161.61	$161.61	$161.61
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 $155.09 / $234.76 / $375.44	Professional		$155.09	$234.76	$375.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.66 / $177.66 / $177.66	Facility		$177.66	$177.66	$177.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.61 / $249.16 / $389.02	Professional		$162.61	$249.16	$389.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $161.55 / $243.94 / $414.59	Professional		$161.55	$243.94	$414.59
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 $161.55 / $242.33 / $272.88	Professional		$161.55	$242.33	$272.88
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 $215.02 / $280.16 / $504.01	Professional		$215.02	$280.16	$504.01