Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,713.00 / $14,796.63	Facility		$709.00	$1,713.00	$14,796.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $146.69 / $512.79	Professional		$127.28	$146.69	$512.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.11 / $158.11 / $158.11	Professional		$158.11	$158.11	$158.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $172.56 / $246.90	Professional		$161.83	$172.56	$246.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $175.61 / $255.32	Professional		$123.69	$175.61	$255.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $145.38 / $212.01	Professional		$1.96	$145.38	$212.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $121.15 / $181.73	Professional		$1.68	$121.15	$181.73
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 $134.22 / $171.77 / $267.12	Professional		$134.22	$171.77	$267.12