Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.73 / $2,138.00 / $4,602.00	Facility		$645.73	$2,138.00	$4,602.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.70 / $91.70 / $322.87	Facility	52	$91.70	$91.70	$322.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $256.26 / $922.60	Professional		$168.25	$256.26	$922.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $94.81 / $94.81	Professional		$94.81	$94.81	$94.81
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 $181.33 / $311.10 / $1,003.62	Professional		$181.33	$311.10	$1,003.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.22 / $1,186.98 / $1,269.31	Facility		$909.22	$1,186.98	$1,269.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.32 / $284.67 / $937.65	Professional		$174.32	$284.67	$937.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.54 / $270.69 / $1,120.63	Professional		$100.54	$270.69	$1,120.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.86 / $2,096.52 / $2,096.52	Facility		$933.86	$2,096.52	$2,096.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $232.02 / $980.28	Professional		$154.68	$232.02	$980.28
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.80 / $587.65 / $1,024.16	Professional		$180.80	$587.65	$1,024.16