Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.97 / $1,639.00 / $4,473.00	Facility		$229.97	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $201.22 / $363.34	Professional		$142.77	$201.22	$363.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $208.39 / $208.39	Professional		$208.39	$208.39	$208.39
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 $148.41 / $207.36 / $351.37	Professional		$148.41	$207.36	$351.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $213.72 / $228.54	Facility		$163.69	$213.72	$228.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $219.82 / $356.45	Professional		$149.38	$219.82	$356.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $119.99 / $219.13 / $350.00	Professional		$119.99	$219.13	$350.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $197.34 / $1,303.09 / $1,303.09	Facility		$197.34	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $213.94 / $296.01	Professional		$149.90	$213.94	$296.01
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,715.00	Facility		$408.00	$1,917.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $244.80 / $397.80	Professional		$188.57	$244.80	$397.80