Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.16 / $1,639.00 / $4,396.00	Facility		$583.16	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $453.18 / $776.06	Professional		$167.87	$453.18	$776.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $533.80 / $533.80 / $667.26	Professional		$533.80	$533.80	$667.26
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 $173.95 / $412.76 / $841.17	Professional		$173.95	$412.76	$841.17
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 $179.88 / $365.00 / $864.40	Professional		$179.88	$365.00	$864.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $474.86 / $1,495.83	Professional		$147.13	$474.86	$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 $169.68 / $254.52 / $929.57	Professional		$169.68	$254.52	$929.57
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 $438.45 / $594.80 / $968.97	Professional		$438.45	$594.80	$968.97