Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.77 / $4,262.68 / $5,279.99	Facility		$164.77	$4,262.68	$5,279.99
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.32 / $27.56 / $137.47	Facility	52	$22.32	$27.56	$137.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $194.85 / $369.45	Professional		$44.63	$194.85	$369.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $74.38 / $250.90	Professional		$39.89	$74.38	$250.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $148.71 / $337.97	Professional		$50.09	$148.71	$337.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $161.76 / $363.56	Professional		$44.62	$161.76	$363.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $62.32 / $317.37	Professional		$27.68	$62.32	$317.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $55.37 / $311.14	Professional		$0.18	$55.37	$311.14
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 $53.24 / $253.15 / $393.97	Professional		$53.24	$253.15	$393.97