Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,841.00	Facility		$950.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $164.82 / $247.33	Professional		$146.91	$164.82	$247.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $136.83 / $136.83	Professional		$109.96	$136.83	$136.83
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 $143.82 / $206.65 / $290.00	Professional		$143.82	$206.65	$290.00
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 $152.87 / $203.67 / $330.00	Professional		$152.87	$203.67	$330.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $191.25 / $1,120.63	Professional		$4.16	$191.25	$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 $3.12 / $150.36 / $1,400.79	Professional		$3.12	$150.36	$1,400.79
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,116.00 / $6,244.00	Facility		$721.00	$2,116.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.78 / $188.74 / $302.87	Professional		$148.78	$188.74	$302.87