Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.29 / $1,706.00 / $4,473.00	Facility		$561.29	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $363.72 / $383.09 / $420.98	Facility	54	$363.72	$383.09	$420.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.61 / $510.79 / $2,613.90	Professional		$463.61	$510.79	$2,613.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $568.20 / $568.20 / $568.20	Professional		$568.20	$568.20	$568.20
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 $489.10 / $581.29 / $827.71	Professional		$489.10	$581.29	$827.71
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 $437.54 / $642.70 / $926.15	Professional		$437.54	$642.70	$926.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $553.25 / $882.22	Professional		$5.29	$553.25	$882.22
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 $3.60 / $494.09 / $862.07	Professional		$3.60	$494.09	$862.07
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 $433.01 / $608.59 / $942.40	Professional		$433.01	$608.59	$942.40