Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.08 / $2,173.00 / $4,841.00	Facility		$231.08	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $156.78 / $751.00	Professional		$103.20	$156.78	$751.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.10 / $209.10 / $223.75	Professional		$209.10	$209.10	$223.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $210.67 / $346.59	Professional		$122.93	$210.67	$346.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.58 / $171.58 / $171.58	Facility		$171.58	$171.58	$171.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $186.61 / $341.90	Professional		$116.69	$186.61	$341.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $209.16 / $354.58	Professional		$119.81	$209.16	$354.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.30 / $336.18 / $336.18	Facility		$174.30	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $189.18 / $336.63	Professional		$1.68	$189.18	$336.63
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.77 / $239.07 / $405.71	Professional		$177.77	$239.07	$405.71