Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.37 / $1,713.00 / $4,473.00	Facility		$153.37	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $134.16 / $582.00	Professional		$95.75	$134.16	$582.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $322.06 / $322.06 / $322.06	Professional		$322.06	$322.06	$322.06
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 $105.87 / $122.11 / $188.10	Professional		$105.87	$122.11	$188.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $155.07 / $250.24	Professional		$107.52	$155.07	$250.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $126.97 / $234.67	Professional		$1.20	$126.97	$234.67
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 $0.90 / $141.08 / $241.88	Professional		$0.90	$141.08	$241.88
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 $129.88 / $179.64 / $272.83	Professional		$129.88	$179.64	$272.83