Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.97 / $570.71 / $3,605.00	Facility		$289.97	$570.71	$3,605.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $88.21 / $236.50	Professional		$45.67	$88.21	$236.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $110.33 / $121.41	Professional		$110.33	$110.33	$121.41
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 $45.18 / $77.06 / $155.34	Professional		$45.18	$77.06	$155.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $79.88 / $149.97	Professional		$41.86	$79.88	$149.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $80.70 / $172.34	Professional		$43.50	$80.70	$172.34
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 $0.60 / $51.67 / $110.22	Professional		$0.60	$51.67	$110.22
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 $81.64 / $106.76 / $197.82	Professional		$81.64	$106.76	$197.82