Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.70 / $1,706.00 / $4,473.00	Facility		$284.70	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $254.54 / $376.33	Professional		$141.91	$254.54	$376.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.88 / $199.88 / $199.88	Professional		$199.88	$199.88	$199.88
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 $169.48 / $250.36 / $406.67	Professional		$169.48	$250.36	$406.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.10 / $183.10 / $183.10	Facility		$183.10	$183.10	$183.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.02 / $264.57 / $422.51	Professional		$179.02	$264.57	$422.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $175.64 / $265.22 / $442.93	Professional		$175.64	$265.22	$442.93
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 $175.64 / $263.45 / $285.54	Professional		$175.64	$263.45	$285.54
United Facility/Professional Facility Modifier Low / Median / High Price $208.86 / $1,917.00 / $4,661.00	Facility		$208.86	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.32 / $306.72 / $536.76	Professional		$238.32	$306.72	$536.76