Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.32 / $2,173.00 / $4,841.00	Facility		$412.32	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $255.31 / $412.32	Professional		$158.34	$255.31	$412.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $175.06 / $1,081.56	Professional		$175.06	$175.06	$1,081.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.59 / $225.52 / $355.50	Professional		$168.59	$225.52	$355.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $442.69 / $520.80 / $578.67	Professional	50	$442.69	$520.80	$578.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.51 / $1,079.51 / $1,079.51	Facility		$1,079.51	$1,079.51	$1,079.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $262.52 / $564.00	Professional		$163.18	$262.52	$564.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $330.52 / $1,136.54	Professional		$140.40	$330.52	$1,136.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $234.00 / $495.78	Professional		$156.00	$234.00	$495.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,299.00 / $7,138.00	Facility		$1,282.00	$2,299.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.06 / $340.03 / $578.97	Professional		$280.06	$340.03	$578.97