Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.25 / $1,706.00 / $4,473.00	Facility		$312.25	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $195.40 / $213.11 / $234.19	Facility	54	$195.40	$213.11	$234.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $278.73 / $638.16	Professional		$236.65	$278.73	$638.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $441.26 / $441.26 / $441.26	Professional		$441.26	$441.26	$441.26
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 $268.67 / $305.88 / $447.40	Professional		$268.67	$305.88	$447.40
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 $241.27 / $344.00 / $515.21	Professional		$241.27	$344.00	$515.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $310.62 / $502.50	Professional		$1.94	$310.62	$502.50
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 $1.32 / $279.07 / $501.35	Professional		$1.32	$279.07	$501.35
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 $251.56 / $334.40 / $526.70	Professional		$251.56	$334.40	$526.70