Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $2,079.00 / $4,396.00	Facility		$1,056.00	$2,079.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.28 / $72.75 / $141.24	Facility	52	$69.28	$72.75	$141.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $269.02 / $707.96	Professional		$123.29	$269.02	$707.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $63.12 / $63.18	Professional		$63.12	$63.12	$63.18
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 $148.19 / $258.52 / $430.99	Professional		$148.19	$258.52	$430.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.45 / $833.45 / $833.45	Facility		$833.45	$833.45	$833.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $249.41 / $410.21	Professional		$127.01	$249.41	$410.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $285.43 / $881.06	Professional		$113.62	$285.43	$881.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $881.06 / $1,905.85 / $1,905.85	Facility		$881.06	$1,905.85	$1,905.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $126.23 / $428.15	Professional		$119.60	$126.23	$428.15
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.60 / $358.67 / $474.52	Professional		$250.60	$358.67	$474.52