Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.15 / $1,639.00 / $4,396.00	Facility		$345.15	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $55.43 / $266.00	Professional		$44.97	$55.43	$266.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $95.24 / $95.24	Professional		$95.24	$95.24	$95.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $67.45 / $98.68	Professional		$48.48	$67.45	$98.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $62.45 / $93.31	Professional		$45.10	$62.45	$93.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $63.16 / $99.42	Professional		$0.93	$63.16	$99.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $42.48 / $89.30	Professional		$0.48	$42.48	$89.30
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $77.81 / $157.32	Professional		$59.38	$77.81	$157.32