Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.52 / $1,639.00 / $4,396.00	Facility		$199.52	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $138.59 / $231.92	Professional		$77.84	$138.59	$231.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $35.85 / $42.89	Professional		$35.85	$35.85	$42.89
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 $81.84 / $162.32 / $316.56	Professional		$81.84	$162.32	$316.56
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 $78.88 / $146.79 / $311.73	Professional		$78.88	$146.79	$311.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $152.28 / $519.85	Professional		$65.11	$152.28	$519.85
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 $72.34 / $108.51 / $317.64	Professional		$72.34	$108.51	$317.64
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 $147.63 / $196.59 / $314.95	Professional		$147.63	$196.59	$314.95