Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.73 / $1,639.00 / $4,396.00	Facility		$320.73	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $274.58 / $503.38	Professional		$120.84	$274.58	$503.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $160.22 / $160.22	Professional		$160.22	$160.22	$160.22
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 $129.56 / $257.64 / $462.16	Professional		$129.56	$257.64	$462.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.97 / $869.42 / $929.73	Facility		$665.97	$869.42	$929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $254.00 / $494.68	Professional		$127.37	$254.00	$494.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $285.94 / $685.78	Professional		$96.78	$285.94	$685.78
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $685.78 / $1,303.09 / $1,303.09	Facility		$685.78	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $161.30 / $501.32	Professional		$107.53	$161.30	$501.32
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 $274.16 / $349.35 / $548.75	Professional		$274.16	$349.35	$548.75