Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.75 / $1,210.25 / $4,841.00	Facility		$519.75	$1,210.25	$4,841.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $819.50 / $994.50 / $1,086.50	Facility	50	$819.50	$994.50	$1,086.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.50 / $413.68 / $1,670.00	Professional		$364.50	$413.68	$1,670.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.49 / $291.01 / $464.55	Professional		$266.49	$291.01	$464.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.93 / $530.20 / $762.17	Professional		$463.93	$530.20	$762.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.26 / $1,618.26 / $1,618.26	Facility		$1,618.26	$1,618.26	$1,618.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.18 / $475.94 / $713.25	Professional		$299.18	$475.94	$713.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $506.06 / $2,092.55	Professional		$4.59	$506.06	$2,092.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.04 / $4,232.04 / $4,232.04	Facility		$1,674.04	$4,232.04	$4,232.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $426.39 / $2,511.06	Professional		$3.12	$426.39	$2,511.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,299.00 / $7,138.00	Facility		$1,282.00	$2,299.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.37 / $520.70 / $774.69	Professional		$373.37	$520.70	$774.69