Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.02 / $2,173.00 / $4,841.00	Facility		$303.02	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $286.05 / $480.92	Professional		$197.28	$286.05	$480.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.20 / $336.20 / $336.20	Professional		$336.20	$336.20	$336.20
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 $186.25 / $268.85 / $441.89	Professional		$186.25	$268.85	$441.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.25 / $190.25 / $190.25	Facility		$190.25	$190.25	$190.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $294.50 / $469.44	Professional		$203.00	$294.50	$469.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $288.50 / $473.78	Professional		$189.80	$288.50	$473.78
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 $191.06 / $286.58 / $304.55	Professional		$191.06	$286.58	$304.55
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 $262.01 / $327.90 / $570.78	Professional		$262.01	$327.90	$570.78