Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.41 / $1,713.00 / $4,396.00	Facility		$568.41	$1,713.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $230.99 / $833.60	Professional		$99.93	$230.99	$833.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $102.92 / $102.92	Professional		$102.92	$102.92	$102.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.77 / $152.05 / $209.72	Professional		$110.77	$152.05	$209.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $391.14 / $391.14	Facility		$391.14	$391.14	$391.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $217.57 / $415.27	Professional		$111.09	$217.57	$415.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $183.65 / $477.06	Professional		$1.28	$183.65	$477.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $141.83 / $606.89	Professional		$0.96	$141.83	$606.89
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $321.08 / $464.32	Professional		$228.47	$321.08	$464.32