Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.76 / $2,472.00 / $5,862.48	Facility		$551.76	$2,472.00	$5,862.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.49 / $446.42 / $1,922.88	Professional		$317.49	$446.42	$1,922.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $281.83 / $281.83	Professional		$281.83	$281.83	$281.83
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 $357.91 / $419.59 / $613.72	Professional		$357.91	$419.59	$613.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $531.76 / $855.22	Professional		$351.44	$531.76	$855.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $544.74 / $957.02	Professional		$4.76	$544.74	$957.02
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $519.72 / $1,367.18	Professional		$3.24	$519.72	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.84 / $547.84 / $889.71	Professional		$421.84	$547.84	$889.71