Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.91 / $1,639.00 / $4,396.00	Facility		$273.91	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $127.12 / $347.76	Professional		$81.40	$127.12	$347.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $57.01 / $57.01	Professional		$57.01	$57.01	$57.01
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 $78.27 / $126.48 / $389.43	Professional		$78.27	$126.48	$389.43
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 $84.55 / $141.36 / $355.37	Professional		$84.55	$141.36	$355.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $142.22 / $685.78	Professional		$63.34	$142.22	$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 $79.18 / $118.77 / $424.20	Professional		$79.18	$118.77	$424.20
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 $113.52 / $165.20 / $301.49	Professional		$113.52	$165.20	$301.49