Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $330.00 / $496.50	Facility		$21.25	$330.00	$496.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $38.00 / $453.66	Professional		$30.00	$38.00	$453.66
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $543.15 / $543.15 / $1,260.00	Professional	AA	$543.15	$543.15	$1,260.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $140.77 / $140.77 / $480.00	Professional	AA	$140.77	$140.77	$480.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.77 / $140.77 / $420.00	Professional	QZ	$140.77	$140.77	$420.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $262.26 / $436.32	Professional		$100.00	$262.26	$436.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $343.50 / $461.20	Professional		$250.00	$343.50	$461.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $291.12 / $390.00 / $615.84	Professional		$291.12	$390.00	$615.84
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.00 / $78.00	Professional		$38.00	$50.00	$78.00