Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $1,639.00 / $4,396.00	Facility		$61.44	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $76.06 / $140.32	Professional		$49.87	$76.06	$140.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $64.95 / $64.95	Professional		$51.10	$64.95	$64.95
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 $48.23 / $69.22 / $96.60	Professional		$48.23	$69.22	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $67.92 / $109.30	Professional		$46.89	$67.92	$109.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $72.80 / $102.58	Professional		$42.71	$72.80	$102.58
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 $0.72 / $53.44 / $71.18	Professional		$0.72	$53.44	$71.18
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 $60.49 / $70.80 / $116.56	Professional		$60.49	$70.80	$116.56