Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.85 / $1,639.00 / $4,396.00	Facility		$127.85	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $94.23 / $325.00	Professional		$36.57	$94.23	$325.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.51 / $150.88 / $151.22	Professional		$85.51	$150.88	$151.22
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 $34.49 / $72.43 / $183.40	Professional		$34.49	$72.43	$183.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $76.89 / $191.77	Professional		$36.52	$76.89	$191.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $69.86 / $192.89	Professional		$0.63	$69.86	$192.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $40.03 / $192.89	Professional		$0.42	$40.03	$192.89
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,998.00	Facility		$200.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $108.78 / $188.96	Professional		$79.58	$108.78	$188.96