Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.84 / $1,706.00 / $4,473.00	Facility		$241.84	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $161.75 / $165.06 / $181.38	Facility	54	$161.75	$165.06	$181.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.88 / $218.67 / $961.00	Professional		$183.88	$218.67	$961.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $216.85 / $216.85	Professional		$184.32	$216.85	$216.85
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 $223.75 / $258.31 / $378.65	Professional		$223.75	$258.31	$378.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $266.02 / $399.04	Professional		$183.41	$266.02	$399.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $251.58 / $410.51	Professional		$2.56	$251.58	$410.51
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $233.76 / $383.78	Professional		$1.74	$233.76	$383.78
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.60 / $243.39 / $398.18	Professional		$189.60	$243.39	$398.18