Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.85 / $3,459.00 / $7,674.00	Facility		$625.85	$3,459.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $594.84 / $818.53	Professional		$534.00	$594.84	$818.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $922.52 / $922.52 / $922.52	Professional		$922.52	$922.52	$922.52
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 $443.62 / $491.95 / $823.36	Professional		$443.62	$491.95	$823.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $646.63 / $760.75 / $845.28	Professional	50	$646.63	$760.75	$845.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.22 / $286.22 / $286.22	Facility		$286.22	$286.22	$286.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.08 / $609.64 / $1,232.83	Professional		$421.08	$609.64	$1,232.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $553.37 / $890.85	Professional		$190.00	$553.37	$890.85
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $606.29 / $606.29 / $606.29	Facility		$606.29	$606.29	$606.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $425.67 / $475.83 / $638.51	Professional		$425.67	$475.83	$638.51
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.66 / $615.29 / $1,292.00	Professional		$343.66	$615.29	$1,292.00