Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $102.75 / $102.75	Facility		$102.75	$102.75	$102.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $90.03 / $122.59	Professional		$71.56	$90.03	$122.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.00 / $576.00 / $1,198.00	Facility		$482.00	$576.00	$1,198.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $100.00 / $157.07	Professional		$77.04	$100.00	$157.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $98.51 / $156.97	Professional		$66.87	$98.51	$156.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $60.00	Professional		$0.60	$0.60	$60.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $88.14 / $147.65	Professional		$69.97	$88.14	$147.65