Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.99 / $1,595.00 / $4,396.00	Facility		$433.99	$1,595.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $119.09 / $249.78	Professional		$45.50	$119.09	$249.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $130.65 / $166.39	Professional		$108.16	$130.65	$166.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $125.61 / $168.85	Professional		$47.97	$125.61	$168.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $93.94 / $93.94	Facility		$93.94	$93.94	$93.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $100.62 / $176.08	Professional		$40.40	$100.62	$176.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $105.26 / $184.87	Professional		$37.58	$105.26	$184.87
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $56.37 / $143.54	Professional		$37.58	$56.37	$143.54
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 $112.64 / $132.09 / $224.91	Professional		$112.64	$132.09	$224.91