Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.83 / $1,035.72 / $4,730.00	Facility		$304.83	$1,035.72	$4,730.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $208.04 / $218.44 / $240.05	Facility	54	$208.04	$218.44	$240.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.84 / $287.45 / $1,258.00	Professional		$244.84	$287.45	$1,258.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $205.71 / $220.09 / $1,123.19	Professional	54	$205.71	$220.09	$1,123.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.45 / $248.45 / $248.45	Professional		$248.45	$248.45	$248.45
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 $286.79 / $318.33 / $477.89	Professional		$286.79	$318.33	$477.89
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 $226.91 / $350.55 / $518.21	Professional		$226.91	$350.55	$518.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $317.72 / $521.62	Professional		$1.50	$317.72	$521.62
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 $1.02 / $298.07 / $509.30	Professional		$1.02	$298.07	$509.30
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 $226.16 / $314.50 / $482.30	Professional		$226.16	$314.50	$482.30