Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,841.00	Facility		$950.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $154.41 / $274.14	Professional		$126.76	$154.41	$274.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $134.38 / $134.38	Professional		$134.38	$134.38	$134.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.30 / $258.73 / $303.43	Professional		$157.30	$258.73	$303.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.59 / $229.46 / $348.72	Professional		$153.59	$229.46	$348.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $187.34 / $1,433.89	Professional		$2.24	$187.34	$1,433.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,163.08 / $3,163.08 / $3,163.08	Facility		$3,163.08	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $134.38 / $1,955.31	Professional		$1.68	$134.38	$1,955.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $211.86 / $325.64	Professional		$141.10	$211.86	$325.64