Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.24 / $1,639.00 / $4,473.00	Facility		$227.24	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $166.63 / $364.98	Professional		$99.60	$166.63	$364.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.60 / $288.60 / $288.60	Professional		$288.60	$288.60	$288.60
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 $96.41 / $167.25 / $325.58	Professional		$96.41	$167.25	$325.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.11 / $197.27 / $210.96	Facility		$151.11	$197.27	$210.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $183.04 / $342.22	Professional		$104.46	$183.04	$342.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $178.41 / $326.29	Professional		$88.81	$178.41	$326.29
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $178.41 / $1,303.09 / $1,303.09	Facility		$178.41	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $160.05 / $267.62	Professional		$106.70	$160.05	$267.62
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 $152.91 / $210.26 / $356.97	Professional		$152.91	$210.26	$356.97