Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.13 / $2,173.00 / $4,841.00	Facility		$329.13	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.64 / $290.22 / $399.72	Professional		$190.64	$290.22	$399.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.43 / $252.43 / $252.43	Professional		$252.43	$252.43	$252.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.73 / $253.75 / $461.95	Professional		$189.73	$253.75	$461.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.41 / $345.41 / $345.41	Facility		$345.41	$345.41	$345.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.44 / $266.00 / $459.22	Professional		$196.44	$266.00	$459.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $323.75 / $507.72	Professional		$169.07	$323.75	$507.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $253.61 / $504.36	Professional		$169.07	$253.61	$504.36
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 $256.88 / $340.40 / $612.36	Professional		$256.88	$340.40	$612.36