Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.17 / $1,706.00 / $4,473.00	Facility		$330.17	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $207.86 / $225.34 / $247.63	Facility	54	$207.86	$225.34	$247.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.68 / $300.45 / $795.98	Professional		$270.68	$300.45	$795.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.98 / $216.98 / $216.98	Professional		$216.98	$216.98	$216.98
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 $285.98 / $325.58 / $476.22	Professional		$285.98	$325.58	$476.22
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 $254.16 / $360.29 / $544.78	Professional		$254.16	$360.29	$544.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $324.86 / $531.59	Professional		$1.76	$324.86	$531.59
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 / $295.33 / $526.25	Professional		$1.20	$295.33	$526.25
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 $264.00 / $336.51 / $550.52	Professional		$264.00	$336.51	$550.52