Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.60 / $2,173.00 / $4,730.00	Facility		$679.60	$2,173.00	$4,730.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.31 / $104.31 / $339.80	Facility	52	$104.31	$104.31	$339.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.19 / $302.44 / $1,058.09	Professional		$200.19	$302.44	$1,058.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $172.62 / $172.62	Professional		$107.46	$172.62	$172.62
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 $222.49 / $388.12 / $1,056.79	Professional		$222.49	$388.12	$1,056.79
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 $214.03 / $362.42 / $1,019.41	Professional		$214.03	$362.42	$1,019.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $341.64 / $1,161.18	Professional		$113.69	$341.64	$1,161.18
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 $174.90 / $262.35 / $1,031.67	Professional		$174.90	$262.35	$1,031.67
United Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $1,891.00 / $3,793.98	Facility		$634.00	$1,891.00	$3,793.98
United Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $654.15 / $1,119.26	Professional		$272.00	$654.15	$1,119.26