Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,996.00 / $4,473.00	Facility		$408.00	$1,996.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $129.34 / $255.18	Professional		$50.14	$129.34	$255.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $89.92 / $89.92	Professional		$89.92	$89.92	$89.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $116.50 / $213.59	Professional		$56.44	$116.50	$213.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $90.55 / $244.49	Professional		$49.96	$90.55	$244.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $68.80 / $186.42	Professional		$36.68	$68.80	$186.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $61.13 / $167.45	Professional		$0.90	$61.13	$167.45
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 $88.09 / $190.53 / $288.31	Professional		$88.09	$190.53	$288.31