Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.71 / $1,639.00 / $4,396.00	Facility		$126.71	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $121.20 / $227.55	Professional		$74.25	$121.20	$227.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.72 / $60.60 / $218.72	Professional	52	$36.72	$60.60	$218.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $99.44 / $99.44	Professional		$99.44	$99.44	$99.44
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 $74.11 / $112.92 / $178.44	Professional		$74.11	$112.92	$178.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $114.59 / $192.92	Professional		$71.64	$114.59	$192.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $116.62 / $198.26	Professional		$66.06	$116.62	$198.26
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 $0.78 / $81.98 / $128.56	Professional		$0.78	$81.98	$128.56
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 $102.36 / $137.63 / $234.35	Professional		$102.36	$137.63	$234.35