Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.44 / $2,173.00 / $4,841.00	Facility		$601.44	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.05 / $577.53 / $799.12	Professional		$299.05	$577.53	$799.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $742.08 / $742.08 / $742.08	Professional		$742.08	$742.08	$742.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.56 / $519.72 / $845.56	Professional		$292.56	$519.72	$845.56
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 $285.31 / $507.43 / $888.01	Professional		$285.31	$507.43	$888.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $229.16 / $445.59 / $941.33	Professional		$229.16	$445.59	$941.33
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 $254.62 / $381.93 / $634.25	Professional		$254.62	$381.93	$634.25
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.01 / $658.23 / $1,112.58	Professional		$560.01	$658.23	$1,112.58