Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.30 / $1,639.00 / $4,396.00	Facility		$649.30	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $226.75 / $432.41	Professional		$106.88	$226.75	$432.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $248.25 / $248.25	Professional		$107.10	$248.25	$248.25
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 $128.85 / $193.57 / $357.79	Professional		$128.85	$193.57	$357.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.90 / $189.90 / $189.90	Facility		$189.90	$189.90	$189.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $209.08 / $345.50	Professional		$128.00	$209.08	$345.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $215.92 / $390.73	Professional		$132.05	$215.92	$390.73
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $198.08 / $294.44	Professional		$132.05	$198.08	$294.44
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $250.95 / $607.00	Professional		$30.00	$250.95	$607.00