Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $3,959.00 / $10,300.00	Facility		$32.72	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $61.48 / $174.60	Professional		$26.69	$61.48	$174.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $113.19 / $113.19	Professional		$113.19	$113.19	$113.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $54.72 / $136.33	Professional		$24.45	$54.72	$136.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $58.59 / $133.56	Professional		$24.88	$58.59	$133.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $46.24 / $147.29	Professional		$24.65	$46.24	$147.29
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 $0.60 / $32.36 / $95.12	Professional		$0.60	$32.36	$95.12
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 $57.87 / $99.40 / $178.91	Professional		$57.87	$99.40	$178.91