Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.75 / $1,639.00 / $4,396.00	Facility		$60.75	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $57.37 / $286.00	Professional		$37.33	$57.37	$286.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.09 / $109.95 / $109.95	Professional	50	$80.09	$109.95	$109.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $52.78 / $52.78	Professional		$52.78	$52.78	$52.78
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 $45.38 / $65.84 / $83.69	Professional		$45.38	$65.84	$83.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.08 / $75.81 / $125.53	Professional	50	$58.08	$75.81	$125.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.63 / $30.63 / $30.63	Facility		$30.63	$30.63	$30.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $62.42 / $94.69	Professional		$41.02	$62.42	$94.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $48.39 / $91.86	Professional		$0.53	$48.39	$91.86
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $48.95 / $90.06	Professional		$0.36	$48.95	$90.06
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 $51.60 / $67.20 / $100.79	Professional		$51.60	$67.20	$100.79