Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $2,173.00 / $4,841.00	Facility		$227.28	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $204.61 / $296.68	Professional		$134.87	$204.61	$296.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $114.40 / $228.80	Professional		$114.40	$114.40	$228.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $194.06 / $319.33	Professional		$126.93	$194.06	$319.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.59 / $158.59 / $158.59	Facility		$158.59	$158.59	$158.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $209.33 / $349.15	Professional		$137.66	$209.33	$349.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $201.15 / $356.13	Professional		$133.21	$201.15	$356.13
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 $133.21 / $199.82 / $248.16	Professional		$133.21	$199.82	$248.16
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 $201.62 / $244.69 / $427.15	Professional		$201.62	$244.69	$427.15