Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $1,706.00 / $4,473.00	Facility		$95.40	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $85.11 / $117.35	Professional		$62.21	$85.11	$117.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.84 / $115.84 / $115.84	Professional		$115.84	$115.84	$115.84
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 $59.45 / $84.91 / $134.26	Professional		$59.45	$84.91	$134.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $90.69 / $142.75	Professional		$60.85	$90.69	$142.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $92.75 / $149.54	Professional		$52.83	$92.75	$149.54
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 / $68.72 / $96.53	Professional		$0.78	$68.72	$96.53
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 $83.38 / $98.89 / $172.63	Professional		$83.38	$98.89	$172.63