Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.45 / $2,818.11 / $3,013.27	Facility		$256.45	$2,818.11	$3,013.27
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,578.11 / $3,050.44 / $4,457.99	Facility	25	$1,578.11	$3,050.44	$4,457.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.75 / $231.42 / $700.95	Professional		$178.75	$231.42	$700.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $307.00 / $985.95	Professional	25	$189.83	$307.00	$985.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $203.50 / $528.00	Professional		$172.98	$203.50	$528.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $203.50 / $234.77 / $755.06	Professional	25	$203.50	$234.77	$755.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,709.00 / $3,709.00 / $4,572.00	Facility		$3,709.00	$3,709.00	$4,572.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.07 / $309.24 / $460.66	Professional		$204.07	$309.24	$460.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,237.00 / $5,231.00 / $5,257.00	Facility		$4,237.00	$5,231.00	$5,257.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $285.81 / $475.44	Professional		$198.94	$285.81	$475.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $281.10 / $444.48	Professional		$2.10	$281.10	$444.48
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $1,231.72 / $1,231.72 / $1,231.72	Professional	25	$1,231.72	$1,231.72	$1,231.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $931.24 / $931.24 / $931.24	Facility		$931.24	$931.24	$931.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $263.33 / $459.81	Professional		$2.10	$263.33	$459.81
United Facility/Professional Professional Modifier Low / Median / High Price $234.53 / $303.36 / $536.53	Professional		$234.53	$303.36	$536.53