Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.25 / $1,639.00 / $4,473.00	Facility		$355.25	$1,639.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.94 / $242.46 / $266.44	Facility	54	$229.94	$242.46	$266.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $323.27 / $1,391.00	Professional		$273.88	$323.27	$1,391.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.99 / $369.99 / $369.99	Professional		$369.99	$369.99	$369.99
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 $316.61 / $360.46 / $527.23	Professional		$316.61	$360.46	$527.23
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 $269.60 / $391.93 / $586.16	Professional		$269.60	$391.93	$586.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $356.05 / $578.28	Professional		$1.76	$356.05	$578.28
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 $1.20 / $328.82 / $566.94	Professional		$1.20	$328.82	$566.94
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 $282.89 / $366.08 / $595.36	Professional		$282.89	$366.08	$595.36