Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.11 / $3,959.00 / $10,300.00	Facility		$71.11	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $117.34 / $202.99	Professional		$70.06	$117.34	$202.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $120.08 / $120.08	Professional		$120.08	$120.08	$120.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $127.47 / $181.05	Professional		$79.18	$127.47	$181.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.62 / $78.62 / $78.62	Facility		$78.62	$78.62	$78.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $109.04 / $190.71	Professional		$62.31	$109.04	$190.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $88.61 / $180.67	Professional		$55.46	$88.61	$180.67
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $256.64 / $256.64 / $256.64	Facility		$256.64	$256.64	$256.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $83.19 / $120.41	Professional		$55.46	$83.19	$120.41
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 $112.56 / $128.12 / $223.65	Professional		$112.56	$128.12	$223.65