Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.30 / $936.90 / $3,585.88	Facility		$649.30	$936.90	$3,585.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $82.23 / $261.27	Professional		$40.31	$82.23	$261.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $96.32 / $113.32	Professional		$93.51	$96.32	$113.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $67.41 / $175.27	Professional		$35.72	$67.41	$175.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $152.44 / $179.34 / $248.25	Professional	50	$152.44	$179.34	$248.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $225.57 / $225.57	Facility		$225.57	$225.57	$225.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $90.63 / $169.45	Professional		$49.44	$90.63	$169.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $119.08 / $256.16	Professional		$55.07	$119.08	$256.16
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $82.61 / $198.47	Professional		$55.07	$82.61	$198.47
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $2,116.00	Facility		$200.00	$1,427.00	$2,116.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $118.90 / $224.91	Professional		$64.52	$118.90	$224.91