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 $309.79 / $496.14 / $2,224.00	Professional		$309.79	$496.14	$2,224.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $495.62 / $495.62 / $495.62	Professional		$495.62	$495.62	$495.62
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 $374.35 / $415.81 / $581.15	Professional		$374.35	$415.81	$581.15
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 $316.48 / $525.64 / $903.61	Professional		$316.48	$525.64	$903.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $535.70 / $929.81	Professional		$3.18	$535.70	$929.81
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 $2.16 / $475.95 / $1,162.26	Professional		$2.16	$475.95	$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 $472.44 / $663.11 / $1,005.85	Professional		$472.44	$663.11	$1,005.85