Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $73.48 / $96.27	Facility		$73.48	$73.48	$96.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $115.52 / $406.06	Professional		$75.45	$115.52	$406.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $120.32 / $168.45	Professional		$106.70	$120.32	$168.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $120.05 / $202.95	Professional		$88.63	$120.05	$202.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $126.23 / $196.35	Professional		$85.65	$126.23	$196.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $350.00	Professional		$1.05	$1.05	$350.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Professional		$1.05	$1.05	$1.05
United Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $132.22 / $238.58	Professional		$95.76	$132.22	$238.58