Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.90 / $1,706.00 / $4,473.00	Facility		$170.90	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $162.53 / $296.14	Professional		$81.62	$162.53	$296.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $204.98 / $241.15	Professional		$189.75	$204.98	$241.15
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 $102.41 / $149.96 / $240.03	Professional		$102.41	$149.96	$240.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $154.49 / $236.10	Professional		$98.66	$154.49	$236.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $155.31 / $260.58	Professional		$83.10	$155.31	$260.58
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 $1.38 / $107.23 / $172.25	Professional		$1.38	$107.23	$172.25
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 $135.61 / $179.09 / $315.63	Professional		$135.61	$179.09	$315.63