Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.80 / $1,639.00 / $4,396.00	Facility		$89.80	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $64.67 / $315.13	Professional		$37.71	$64.67	$315.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $56.90 / $56.90	Professional		$56.90	$56.90	$56.90
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 $47.59 / $68.38 / $87.62	Professional		$47.59	$68.38	$87.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $33.35	Facility		$33.35	$33.35	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $65.55 / $101.02	Professional		$43.99	$65.55	$101.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $54.18 / $93.80	Professional		$1.59	$54.18	$93.80
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 $1.08 / $51.53 / $89.06	Professional		$1.08	$51.53	$89.06
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 $54.30 / $70.45 / $114.65	Professional		$54.30	$70.45	$114.65