Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.91 / $2,472.00 / $4,730.00	Facility		$537.91	$2,472.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.48 / $471.68 / $763.51	Professional		$254.48	$471.68	$763.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $199.74 / $225.59	Professional		$199.74	$199.74	$225.59
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 $356.02 / $466.29 / $638.21	Professional		$356.02	$466.29	$638.21
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 $328.35 / $485.45 / $770.67	Professional		$328.35	$485.45	$770.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $223.26 / $374.59 / $694.16	Professional		$223.26	$374.59	$694.16
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 $248.07 / $349.31 / $450.72	Professional		$248.07	$349.31	$450.72
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 $434.88 / $517.19 / $856.18	Professional		$434.88	$517.19	$856.18