Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.17 / $1,639.00 / $4,396.00	Facility		$379.17	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $729.75 / $729.75 / $839.02	Facility	50	$729.75	$729.75	$839.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $56.43 / $201.00	Professional		$34.15	$56.43	$201.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $71.09 / $270.00 / $334.50	Professional	50	$71.09	$270.00	$334.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $49.40 / $98.28	Professional		$24.70	$49.40	$98.28
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 $42.33 / $60.13 / $75.17	Professional		$42.33	$60.13	$75.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $51.72 / $74.79 / $109.66	Professional	50	$51.72	$74.79	$109.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $17,045.00 / $17,152.00	Facility		$29.94	$17,045.00	$17,152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $58.19 / $88.86	Professional		$36.67	$58.19	$88.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $43.65 / $80.20	Professional		$0.35	$43.65	$80.20
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 $0.24 / $46.44 / $83.55	Professional		$0.24	$46.44	$83.55
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 $44.64 / $61.92 / $94.63	Professional		$44.64	$61.92	$94.63