Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.85 / $1,706.00 / $4,473.00	Facility		$184.85	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $178.59 / $318.02	Professional		$111.95	$178.59	$318.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $111.09 / $111.09	Professional		$111.09	$111.09	$111.09
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 $113.26 / $165.35 / $259.51	Professional		$113.26	$165.35	$259.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $168.13 / $265.00	Professional		$109.84	$168.13	$265.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $169.62 / $282.63	Professional		$91.41	$169.62	$282.63
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 $1.56 / $118.45 / $186.70	Professional		$1.56	$118.45	$186.70
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 $150.88 / $195.30 / $320.73	Professional		$150.88	$195.30	$320.73