Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.74 / $1,508.00 / $4,396.00	Facility		$348.74	$1,508.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $56.23 / $248.00	Professional		$33.60	$56.23	$248.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $40.72 / $40.72	Professional		$40.72	$40.72	$40.72
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 $42.70 / $60.27 / $82.53	Professional		$42.70	$60.27	$82.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $28.59 / $28.59	Facility		$28.59	$28.59	$28.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.45 / $89.76	Professional		$38.90	$57.45	$89.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $46.52 / $78.66	Professional		$0.53	$46.52	$78.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $44.18 / $77.12	Professional		$0.36	$44.18	$77.12
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 $47.73 / $62.82 / $100.17	Professional		$47.73	$62.82	$100.17