Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.75 / $1,639.00 / $4,396.00	Facility		$569.75	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $141.87 / $654.00	Professional		$35.50	$141.87	$654.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $32.59 / $40.28	Professional		$32.59	$32.59	$40.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $128.97 / $293.81	Professional		$42.15	$128.97	$293.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $96.97 / $305.31	Professional		$39.06	$96.97	$305.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $53.49 / $261.77	Professional		$28.51	$53.49	$261.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $47.52 / $256.64	Professional		$1.20	$47.52	$256.64
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 $52.04 / $202.50 / $383.77	Professional		$52.04	$202.50	$383.77