Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.11 / $3,959.00 / $10,300.00	Facility		$57.11	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $98.97 / $225.10	Professional		$54.18	$98.97	$225.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $119.25 / $119.25	Professional		$101.36	$119.25	$119.25
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 $51.47 / $88.90 / $187.50	Professional		$51.47	$88.90	$187.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $93.21 / $180.98	Professional		$52.30	$93.21	$180.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $80.94 / $200.00	Professional		$43.15	$80.94	$200.00
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 $1.08 / $57.29 / $131.04	Professional		$1.08	$57.29	$131.04
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 $93.60 / $143.63 / $251.38	Professional		$93.60	$143.63	$251.38