Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.50 / $2,173.00 / $4,841.00	Facility		$941.50	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.48 / $941.50 / $1,427.55	Professional		$265.48	$941.50	$1,427.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $116.96 / $233.92	Professional		$116.96	$116.96	$233.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.14 / $818.56 / $1,619.30	Professional		$297.14	$818.56	$1,619.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $376.60 / $1,298.25 / $1,878.10	Professional	50	$376.60	$1,298.25	$1,878.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.98 / $482.73 / $1,629.51	Professional		$256.98	$482.73	$1,629.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $360.07 / $1,230.28	Professional		$190.00	$360.07	$1,230.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $323.42 / $1,189.53	Professional		$4.50	$323.42	$1,189.53
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.73 / $1,282.11 / $1,828.38	Professional		$357.73	$1,282.11	$1,828.38