Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,473.00	Facility		$750.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.55 / $328.49 / $503.25	Professional		$219.55	$328.49	$503.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.18 / $227.18 / $227.18	Professional		$227.18	$227.18	$227.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,474.00 / $4,589.00 / $6,006.00	Facility		$3,474.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.73 / $331.15 / $477.77	Professional		$218.73	$331.15	$477.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,671.54 / $2,182.19 / $2,333.56	Facility		$1,671.54	$2,182.19	$2,333.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.51 / $359.21 / $581.73	Professional		$235.51	$359.21	$581.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $310.36 / $2,034.55	Professional		$2.96	$310.36	$2,034.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.46 / $3,478.55 / $3,478.55	Facility		$1,695.46	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $208.52 / $2,543.19	Professional		$2.22	$208.52	$2,543.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,097.00 / $3,000.00 / $9,042.00	Facility		$1,097.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.18 / $348.84 / $505.35	Professional		$213.18	$348.84	$505.35