Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.59 / $3,959.00 / $10,300.00	Facility		$48.59	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.01 / $311.45	Professional		$45.71	$87.01	$311.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $138.74 / $138.74	Professional		$89.43	$138.74	$138.74
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 $41.68 / $74.55 / $165.76	Professional		$41.68	$74.55	$165.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $78.12 / $159.88	Professional		$42.10	$78.12	$159.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $69.73 / $177.28	Professional		$37.18	$69.73	$177.28
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $49.31 / $115.62	Professional		$0.90	$49.31	$115.62
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 $75.42 / $120.75 / $217.35	Professional		$75.42	$120.75	$217.35