Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.35 / $3,959.00 / $10,300.00	Facility		$59.35	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $97.62 / $234.88	Professional		$56.77	$97.62	$234.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $119.20 / $119.20	Professional		$119.20	$119.20	$119.20
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 $51.79 / $85.64 / $186.14	Professional		$51.79	$85.64	$186.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.65 / $96.65 / $96.65	Facility		$96.65	$96.65	$96.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $92.03 / $179.70	Professional		$52.59	$92.03	$179.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $107.18 / $198.94	Professional		$50.17	$107.18	$198.94
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 $50.17 / $75.26 / $146.16	Professional		$50.17	$75.26	$146.16
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 $87.74 / $130.06 / $245.70	Professional		$87.74	$130.06	$245.70