Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.95 / $1,639.00 / $4,396.00	Facility		$334.95	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $245.75 / $678.26	Professional		$122.40	$245.75	$678.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $146.04 / $146.04	Professional		$146.04	$146.04	$146.04
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 $117.14 / $220.79 / $481.32	Professional		$117.14	$220.79	$481.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.87 / $1,920.23 / $2,053.42	Facility		$1,470.87	$1,920.23	$2,053.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $240.25 / $485.68	Professional		$135.69	$240.25	$485.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $250.37 / $1,495.83	Professional		$80.00	$250.37	$1,495.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.83 / $3,030.83 / $3,030.83	Facility		$1,495.83	$3,030.83	$3,030.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $198.48 / $513.95	Professional		$132.32	$198.48	$513.95
United Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $2,146.00 / $7,138.00	Facility		$580.00	$2,146.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.60 / $314.23 / $551.76	Professional		$223.60	$314.23	$551.76