Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.01 / $2,173.00 / $4,730.00	Facility		$254.01	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $125.55 / $470.00	Professional		$39.67	$125.55	$470.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $72.65 / $72.65	Professional		$34.08	$72.65	$72.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $5,484.00 / $9,964.00	Facility		$1,529.00	$5,484.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $98.13 / $198.42	Professional		$42.73	$98.13	$198.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $91.21 / $91.21	Facility		$91.21	$91.21	$91.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $111.42 / $207.64	Professional		$38.17	$111.42	$207.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $88.58 / $177.37	Professional		$28.10	$88.58	$177.37
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $232.85 / $232.85 / $232.85	Facility		$232.85	$232.85	$232.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $45.02 / $173.90	Professional		$1.50	$45.02	$173.90
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $9,500.00	Facility		$200.00	$1,427.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $146.07 / $233.92	Professional		$110.25	$146.07	$233.92