Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.29 / $2,173.00 / $4,730.00	Facility		$374.29	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $308.79 / $595.53	Professional		$151.37	$308.79	$595.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $410.31 / $446.58	Professional		$186.26	$410.31	$446.58
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 $224.20 / $302.45 / $524.91	Professional		$224.20	$302.45	$524.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $225.57 / $225.57	Facility		$225.57	$225.57	$225.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.49 / $319.75 / $525.70	Professional		$226.49	$319.75	$525.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $201.75 / $304.64 / $577.26	Professional		$201.75	$304.64	$577.26
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 $201.75 / $302.63 / $372.15	Professional		$201.75	$302.63	$372.15
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $2,116.00	Facility		$200.00	$1,427.00	$2,116.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.13 / $400.96 / $699.94	Professional		$299.13	$400.96	$699.94