Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.75 / $1,639.00 / $4,396.00	Facility		$636.75	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $171.03 / $405.31	Professional		$65.56	$171.03	$405.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $67.50 / $67.50	Professional		$67.50	$67.50	$67.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $91.24 / $139.63	Professional		$70.91	$91.24	$139.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $172.04 / $345.99	Professional		$77.45	$172.04	$345.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $102.46 / $286.22	Professional		$54.62	$102.46	$286.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $91.04 / $280.61	Professional		$0.78	$91.04	$280.61
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 $168.00 / $236.38 / $420.62	Professional		$168.00	$236.38	$420.62