Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.50 / $1,639.00 / $4,473.00	Facility		$302.50	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $260.64 / $1,021.75	Professional		$172.97	$260.64	$1,021.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.08 / $252.08 / $309.00	Professional		$252.08	$252.08	$309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $259.08 / $448.75	Professional		$163.36	$259.08	$448.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.79 / $262.13 / $280.32	Facility		$200.79	$262.13	$280.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $271.06 / $453.75	Professional		$159.00	$271.06	$453.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $280.35 / $453.91	Professional		$146.38	$280.35	$453.91
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $248.86 / $1,007.60 / $1,007.60	Facility		$248.86	$1,007.60	$1,007.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $277.01 / $373.29	Professional		$188.70	$277.01	$373.29
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,514.00 / $4,661.00	Facility		$408.00	$1,514.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $290.08 / $493.93	Professional		$207.28	$290.08	$493.93