Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.20 / $2,173.00 / $4,841.00	Facility		$298.20	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.27 / $285.23 / $472.94	Professional		$170.27	$285.23	$472.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.48 / $255.48 / $255.48	Professional		$255.48	$255.48	$255.48
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 $170.04 / $259.24 / $417.76	Professional		$170.04	$259.24	$417.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.29 / $397.29 / $397.29	Facility		$397.29	$397.29	$397.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $275.39 / $431.87	Professional		$179.24	$275.39	$431.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $298.70 / $478.84	Professional		$178.87	$298.70	$478.84
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 $178.87 / $268.31 / $463.40	Professional		$178.87	$268.31	$463.40
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 $237.67 / $321.48 / $562.59	Professional		$237.67	$321.48	$562.59