Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.42 / $91.25 / $301.02	Facility		$65.42	$91.25	$301.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $91.25 / $427.00	Professional		$62.53	$91.25	$427.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $92.04 / $92.04	Professional		$92.04	$92.04	$92.04
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 $65.65 / $76.18 / $113.60	Professional		$65.65	$76.18	$113.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $105.44 / $155.41	Professional		$67.04	$105.44	$155.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $93.37 / $164.23	Professional		$0.71	$93.37	$164.23
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $293.51 / $293.51 / $293.51	Facility		$293.51	$293.51	$293.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $95.33 / $161.01	Professional		$0.48	$95.33	$161.01
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 $83.70 / $108.95 / $166.38	Professional		$83.70	$108.95	$166.38