Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.50 / $1,639.00 / $4,396.00	Facility		$267.50	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $188.88 / $434.96	Professional		$107.60	$188.88	$434.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.83 / $327.83 / $327.83	Professional		$327.83	$327.83	$327.83
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 $101.65 / $170.09 / $384.04	Professional		$101.65	$170.09	$384.04
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 $99.95 / $192.23 / $397.50	Professional		$99.95	$192.23	$397.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $206.54 / $685.78	Professional		$48.00	$206.54	$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 $118.02 / $177.03 / $411.74	Professional		$118.02	$177.03	$411.74
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 $168.09 / $241.99 / $412.03	Professional		$168.09	$241.99	$412.03