Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.64 / $1,639.00 / $4,526.55	Facility		$182.64	$1,639.00	$4,526.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $144.81 / $293.91	Professional		$78.37	$144.81	$293.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $118.67 / $121.01	Professional		$118.67	$118.67	$121.01
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 $84.41 / $155.13 / $272.06	Professional		$84.41	$155.13	$272.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $972.88 / $1,040.35	Facility		$745.22	$972.88	$1,040.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $163.97 / $309.11	Professional		$84.55	$163.97	$309.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $152.51 / $774.84	Professional		$63.14	$152.51	$774.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $105.23 / $254.18	Professional		$70.15	$105.23	$254.18
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 $153.12 / $200.56 / $319.61	Professional		$153.12	$200.56	$319.61