Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.99 / $2,472.00 / $5,278.00	Facility		$409.99	$2,472.00	$5,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.09 / $374.68 / $691.95	Professional		$191.09	$374.68	$691.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.33 / $224.33 / $460.68	Professional		$224.33	$224.33	$460.68
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 $264.64 / $354.80 / $575.63	Professional		$264.64	$354.80	$575.63
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 $252.07 / $371.87 / $618.17	Professional		$252.07	$371.87	$618.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $321.70 / $627.65	Professional		$209.58	$321.70	$627.65
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 $213.05 / $319.58 / $407.03	Professional		$213.05	$319.58	$407.03
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $2,415.00	Facility		$200.00	$1,427.00	$2,415.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.24 / $441.74 / $771.13	Professional		$318.24	$441.74	$771.13