Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.87 / $1,706.00 / $4,473.00	Facility		$140.87	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $134.71 / $246.20	Professional		$77.01	$134.71	$246.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $130.68 / $130.68	Professional		$130.68	$130.68	$130.68
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 $80.34 / $123.35 / $198.37	Professional		$80.34	$123.35	$198.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $127.28 / $211.89	Professional		$77.29	$127.28	$211.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $123.33 / $217.02	Professional		$66.47	$123.33	$217.02
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 $1.02 / $85.39 / $143.61	Professional		$1.02	$85.39	$143.61
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 $110.15 / $146.29 / $260.19	Professional		$110.15	$146.29	$260.19