Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.11 / $1,639.00 / $4,396.00	Facility		$351.11	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $154.80 / $620.91	Professional		$111.95	$154.80	$620.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $115.11 / $115.11	Professional		$115.11	$115.11	$115.11
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 $121.18 / $143.87 / $214.16	Professional		$121.18	$143.87	$214.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.15 / $72.15 / $72.15	Facility		$72.15	$72.15	$72.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $173.33 / $258.00	Professional		$121.78	$173.33	$258.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $138.24 / $235.01	Professional		$2.00	$138.24	$235.01
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $119.87 / $230.40	Professional		$1.50	$119.87	$230.40
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 $135.36 / $192.38 / $272.17	Professional		$135.36	$192.38	$272.17