Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.70 / $1,706.00 / $4,473.00	Facility		$307.70	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.01 / $228.44 / $251.03	Facility	54	$210.01	$228.44	$251.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $300.63 / $1,287.00	Professional		$259.72	$300.63	$1,287.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.76 / $300.76 / $300.76	Professional		$300.76	$300.76	$300.76
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 $288.98 / $329.00 / $481.21	Professional		$288.98	$329.00	$481.21
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 $263.41 / $378.00 / $552.25	Professional		$263.41	$378.00	$552.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $329.90 / $532.09	Professional		$2.65	$329.90	$532.09
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 $1.80 / $290.76 / $520.89	Professional		$1.80	$290.76	$520.89
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 $271.47 / $344.85 / $567.64	Professional		$271.47	$344.85	$567.64