Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $1,639.00 / $4,473.00	Facility		$92.87	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $81.18 / $307.24	Professional		$47.53	$81.18	$307.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.71 / $113.18 / $676.13	Professional	50	$109.71	$113.18	$676.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $82.35 / $82.35	Professional		$82.35	$82.35	$82.35
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 $58.50 / $88.09 / $119.75	Professional		$58.50	$88.09	$119.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $76.89 / $130.41 / $177.81	Professional	50	$76.89	$130.41	$177.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $53.43 / $53.43	Facility		$53.43	$53.43	$53.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $83.36 / $139.30	Professional		$54.11	$83.36	$139.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $67.47 / $134.76	Professional		$0.72	$67.47	$134.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $66.15 / $140.37	Professional		$0.54	$66.15	$140.37
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $103.24 / $151.21	Professional		$74.40	$103.24	$151.21