Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.61 / $2,472.00 / $5,923.00	Facility		$408.61	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.22 / $375.70 / $685.65	Professional		$188.22	$375.70	$685.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.47 / $184.47 / $243.26	Professional		$184.47	$184.47	$243.26
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 $258.68 / $342.87 / $572.89	Professional		$258.68	$342.87	$572.89
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 $265.74 / $374.67 / $594.11	Professional		$265.74	$374.67	$594.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $230.42 / $405.58 / $629.14	Professional		$230.42	$405.58	$629.14
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 $230.42 / $345.63 / $624.98	Professional		$230.42	$345.63	$624.98
United Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $1,277.00 / $1,998.00	Facility		$252.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.26 / $437.77 / $764.20	Professional		$356.26	$437.77	$764.20