Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.46 / $1,706.00 / $4,473.00	Facility		$85.46	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $69.47 / $238.88	Professional		$41.88	$69.47	$238.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.29 / $102.42 / $239.39	Professional	50	$99.29	$102.42	$239.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $76.25 / $76.25	Professional		$76.25	$76.25	$76.25
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 $51.15 / $80.59 / $110.22	Professional		$51.15	$80.59	$110.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.54 / $117.87 / $163.19	Professional	50	$67.54	$117.87	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Facility		$50.71	$50.71	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $75.31 / $128.19	Professional		$47.35	$75.31	$128.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $61.84 / $124.73	Professional		$0.56	$61.84	$124.73
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 $0.42 / $58.71 / $129.93	Professional		$0.42	$58.71	$129.93
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 $67.27 / $93.30 / $137.72	Professional		$67.27	$93.30	$137.72