Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.78 / $2,173.00 / $4,841.00	Facility		$898.78	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.82 / $469.93 / $1,325.75	Professional		$240.82	$469.93	$1,325.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $155.60 / $239.42	Professional		$155.60	$155.60	$239.42
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 $195.86 / $378.53 / $1,297.29	Professional		$195.86	$378.53	$1,297.29
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 $246.45 / $611.78 / $1,393.11	Professional		$246.45	$611.78	$1,393.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $581.45 / $1,260.32	Professional		$185.52	$581.45	$1,260.32
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 $206.13 / $309.20 / $1,028.67	Professional		$206.13	$309.20	$1,028.67
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.07 / $910.81 / $1,469.18	Professional		$686.07	$910.81	$1,469.18