Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,396.00	Facility		$750.00	$1,706.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $518.48 / $958.13	Professional		$139.09	$518.48	$958.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $146.16 / $585.79	Professional		$146.16	$146.16	$585.79
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 $182.22 / $626.49 / $1,134.65	Professional		$182.22	$626.49	$1,134.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.77 / $555.77 / $555.77	Facility		$555.77	$555.77	$555.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $484.12 / $1,139.23	Professional		$162.33	$484.12	$1,139.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $121.37 / $446.93 / $1,047.19	Professional		$121.37	$446.93	$1,047.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $587.80 / $1,716.83 / $1,716.83	Facility		$587.80	$1,716.83	$1,716.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $216.71 / $1,026.66	Professional		$1.32	$216.71	$1,026.66
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.16 / $789.20 / $1,321.91	Professional		$572.16	$789.20	$1,321.91