Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $10,300.00	Facility		$950.00	$2,173.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.31 / $407.68 / $1,508.99	Professional		$263.31	$407.68	$1,508.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.39 / $416.39 / $416.39	Professional		$416.39	$416.39	$416.39
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 $293.19 / $325.44 / $473.53	Professional		$293.19	$325.44	$473.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.37 / $277.37 / $277.37	Facility		$277.37	$277.37	$277.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $453.97 / $711.04	Professional		$272.00	$453.97	$711.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $368.74 / $617.40	Professional		$3.18	$368.74	$617.40
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 $2.16 / $401.39 / $643.13	Professional		$2.16	$401.39	$643.13
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 $371.04 / $477.66 / $729.42	Professional		$371.04	$477.66	$729.42