Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $3,959.00 / $10,300.00	Facility		$67.48	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $115.37 / $230.44	Professional		$67.56	$115.37	$230.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.97 / $125.97 / $125.97	Professional		$125.97	$125.97	$125.97
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 $63.27 / $100.37 / $201.99	Professional		$63.27	$100.37	$201.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $106.16 / $195.07	Professional		$60.66	$106.16	$195.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $99.73 / $211.37	Professional		$53.16	$99.73	$211.37
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 $1.44 / $65.98 / $138.43	Professional		$1.44	$65.98	$138.43
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 $106.20 / $150.93 / $275.31	Professional		$106.20	$150.93	$275.31