Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.68 / $1,639.00 / $4,396.00	Facility		$228.68	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $52.43 / $159.86	Professional		$28.10	$52.43	$159.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $56.49 / $61.01	Professional		$25.20	$56.49	$61.01
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 $25.74 / $45.27 / $76.08	Professional		$25.74	$45.27	$76.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.76 / $81.83	Professional		$26.30	$46.76	$81.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $39.71 / $86.51	Professional		$21.40	$39.71	$86.51
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 $0.30 / $28.21 / $55.38	Professional		$0.30	$28.21	$55.38
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 $45.36 / $57.31 / $98.28	Professional		$45.36	$57.31	$98.28