Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.50 / $2,112.00 / $4,396.00	Facility		$576.50	$2,112.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $86.18 / $86.18 / $222.18	Facility	52	$86.18	$86.18	$222.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $245.67 / $707.89	Professional		$162.16	$245.67	$707.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $143.16 / $220.26	Professional		$143.16	$143.16	$220.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $303.93 / $672.61	Professional		$183.31	$303.93	$672.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.64 / $691.45 / $739.41	Facility		$529.64	$691.45	$739.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $271.87 / $666.54	Professional		$162.08	$271.87	$666.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $116.89 / $255.69 / $721.08	Professional		$116.89	$255.69	$721.08
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $519.85 / $1,036.17 / $1,036.17	Facility		$519.85	$1,036.17	$1,036.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $146.11 / $219.17 / $684.57	Professional		$146.11	$219.17	$684.57
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 $188.90 / $398.52 / $675.25	Professional		$188.90	$398.52	$675.25