Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.92 / $2,173.00 / $4,841.00	Facility		$281.92	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $256.55 / $925.33	Professional		$166.60	$256.55	$925.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.25 / $257.25 / $257.25	Professional		$257.25	$257.25	$257.25
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 $172.23 / $198.41 / $296.75	Professional		$172.23	$198.41	$296.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.96 / $149.96 / $149.96	Facility		$149.96	$149.96	$149.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $280.22 / $435.00	Professional		$166.83	$280.22	$435.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $223.83 / $448.19	Professional		$1.94	$223.83	$448.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $293.51 / $293.51 / $293.51	Facility		$293.51	$293.51	$293.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $240.62 / $466.86	Professional		$1.32	$240.62	$466.86
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 $222.47 / $289.20 / $483.84	Professional		$222.47	$289.20	$483.84