Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,396.00	Facility		$750.00	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $98.81 / $186.99	Professional		$66.73	$98.81	$186.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $133.47 / $133.47	Professional		$133.47	$133.47	$133.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $91.02 / $158.06	Professional		$60.81	$91.02	$158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $98.37 / $161.00	Professional		$63.09	$98.37	$161.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $97.81 / $179.99	Professional		$55.75	$97.81	$179.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $58.68 / $178.80	Professional		$0.90	$58.68	$178.80
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $3,390.00	Facility		$200.00	$1,427.00	$3,390.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $123.48 / $216.10	Professional		$89.28	$123.48	$216.10