Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.95 / $352.58 / $446.95	Facility		$309.95	$352.58	$446.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $79.40 / $393.00	Professional		$44.06	$79.40	$393.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $121.83 / $121.83	Professional		$121.83	$121.83	$121.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $57.67 / $81.48	Professional		$46.73	$57.67	$81.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $54.80 / $54.80	Facility		$54.80	$54.80	$54.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $85.65 / $131.05	Professional		$49.42	$85.65	$131.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $68.70 / $147.35	Professional		$0.53	$68.70	$147.35
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.39 / $174.39 / $174.39	Facility		$174.39	$174.39	$174.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $55.20 / $144.47	Professional		$0.36	$55.20	$144.47
United Facility/Professional Facility Modifier Low / Median / High Price $54.90 / $1,048.00 / $1,975.00	Facility		$54.90	$1,048.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $99.33 / $150.59	Professional		$73.92	$99.33	$150.59