Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.02 / $1,713.00 / $10,300.00	Facility		$458.02	$1,713.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $374.89 / $740.00	Professional		$71.81	$374.89	$740.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $61.86 / $61.86	Professional		$61.86	$61.86	$61.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $297.91 / $711.23	Professional		$81.84	$297.91	$711.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $303.05 / $709.93	Professional		$78.05	$303.05	$709.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $126.61 / $609.52	Professional		$45.77	$126.61	$609.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,900.25 / $3,900.25 / $3,900.25	Facility		$3,900.25	$3,900.25	$3,900.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $91.55 / $597.57	Professional		$1.20	$91.55	$597.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $487.08 / $747.31	Professional		$372.32	$487.08	$747.31