Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $1,706.00 / $4,473.00	Facility		$67.67	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $64.63 / $117.66	Professional		$42.02	$64.63	$117.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $67.64 / $67.64	Professional		$57.50	$67.64	$67.64
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 $40.13 / $57.38 / $94.80	Professional		$40.13	$57.38	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.89 / $102.56	Professional		$40.74	$60.89	$102.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $60.15 / $104.74	Professional		$32.42	$60.15	$104.74
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 $0.36 / $43.31 / $67.56	Professional		$0.36	$43.31	$67.56
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 $56.16 / $71.09 / $124.12	Professional		$56.16	$71.09	$124.12