Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $646.20 / $4,730.00	Facility		$61.02	$646.20	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $65.95 / $113.29	Professional		$50.18	$65.95	$113.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $60.58 / $65.14	Professional		$60.58	$60.58	$65.14
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 $54.75 / $58.47 / $73.25	Professional		$54.75	$58.47	$73.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.47 / $101.73 / $113.04	Professional	50	$86.47	$101.73	$113.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $75.73 / $198.21	Professional		$51.28	$75.73	$198.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $69.37 / $115.25	Professional		$37.39	$69.37	$115.25
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 $0.72 / $47.67 / $65.14	Professional		$0.72	$47.67	$65.14
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 $64.22 / $71.41 / $121.59	Professional		$64.22	$71.41	$121.59