Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.26 / $202.26 / $202.26	Facility		$202.26	$202.26	$202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $168.55 / $212.37	Professional		$114.94	$168.55	$212.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $170.71 / $226.50	Professional		$112.31	$170.71	$226.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.79 / $713.79 / $839.45	Facility		$713.79	$713.79	$839.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $164.01 / $233.40	Professional		$133.66	$164.01	$233.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $78.81 / $350.00	Professional		$78.81	$78.81	$350.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.16 / $363.30 / $687.92	Professional		$293.16	$363.30	$687.92