Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.88 / $1,639.00 / $4,396.00	Facility		$496.88	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $250.02 / $471.58	Professional		$152.37	$250.02	$471.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.81 / $246.81 / $325.45	Professional		$246.81	$246.81	$325.45
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 $146.41 / $215.61 / $384.96	Professional		$146.41	$215.61	$384.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.73 / $197.73 / $197.73	Facility		$197.73	$197.73	$197.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $230.92 / $380.72	Professional		$144.66	$230.92	$380.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $229.01 / $425.05	Professional		$147.75	$229.01	$425.05
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 $147.75 / $221.63 / $310.73	Professional		$147.75	$221.63	$310.73
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 $218.88 / $278.27 / $486.99	Professional		$218.88	$278.27	$486.99