Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,472.00 / $4,730.00	Facility		$1,150.00	$2,472.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.45 / $361.99 / $609.97	Professional		$185.45	$361.99	$609.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $345.07 / $455.04	Professional		$322.64	$345.07	$455.04
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 $231.16 / $321.57 / $538.95	Professional		$231.16	$321.57	$538.95
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 $227.86 / $342.14 / $571.76	Professional		$227.86	$342.14	$571.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $372.39 / $586.62	Professional		$200.00	$372.39	$586.62
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 $207.94 / $311.91 / $582.74	Professional		$207.94	$311.91	$582.74
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 $324.72 / $427.27 / $718.83	Professional		$324.72	$427.27	$718.83