Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.68 / $1,713.00 / $4,396.00	Facility		$377.68	$1,713.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $343.69 / $623.10	Professional		$132.76	$343.69	$623.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $160.50 / $160.50	Professional		$160.50	$160.50	$160.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.49 / $179.17 / $282.52	Professional		$141.49	$179.17	$282.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $305.00 / $623.17	Professional		$150.66	$305.00	$623.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $273.08 / $736.10	Professional		$1.76	$273.08	$736.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $207.78 / $1,162.26	Professional		$1.20	$207.78	$1,162.26
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.13 / $424.93 / $676.15	Professional		$265.13	$424.93	$676.15