Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.06 / $1,276.23 / $4,406.00	Facility		$482.06	$1,276.23	$4,406.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $690.51 / $1,386.00 / $2,491.02	Facility	25	$690.51	$1,386.00	$2,491.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $108.81 / $174.40	Professional		$89.38	$108.81	$174.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.16 / $247.56 / $542.10	Professional	25	$96.16	$247.56	$542.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $287.45 / $453.18	Professional		$122.70	$287.45	$453.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $114.98 / $287.45 / $436.40	Professional	25	$114.98	$287.45	$436.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,711.00	Facility		$2,200.00	$2,200.00	$2,711.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $143.53 / $300.00	Professional		$92.96	$143.53	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,556.00 / $3,156.00 / $3,506.00	Facility		$2,556.00	$3,156.00	$3,506.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $139.51 / $216.02	Professional		$94.09	$139.51	$216.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $127.93 / $212.83	Professional		$1.25	$127.93	$212.83
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $575.00 / $575.00 / $575.00	Professional	25	$575.00	$575.00	$575.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $116.30 / $174.45	Professional		$1.25	$116.30	$174.45
United Facility/Professional Professional Modifier Low / Median / High Price $101.79 / $131.44 / $224.00	Professional		$101.79	$131.44	$224.00