Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.96 / $927.96 / $4,019.70	Facility		$351.96	$927.96	$4,019.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $927.96 / $927.96 / $927.96	Facility	50	$927.96	$927.96	$927.96
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $21.67 / $23.81 / $34.02	Facility	52	$21.67	$23.81	$34.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $74.52 / $300.00	Professional		$43.33	$74.52	$300.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.94 / $155.34 / $450.00	Professional	50	$83.94	$155.34	$450.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $64.15 / $94.11	Professional		$20.58	$64.15	$94.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $76.00 / $108.23 / $141.16	Professional	50	$76.00	$108.23	$141.16
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 $50.94 / $75.55 / $106.44	Professional		$50.94	$75.55	$106.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.53 / $92.23 / $140.35	Professional	50	$65.53	$92.23	$140.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $17,045.00 / $17,152.00	Facility		$35.39	$17,045.00	$17,152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $73.97 / $112.00	Professional		$47.60	$73.97	$112.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $54.89 / $101.15	Professional		$0.53	$54.89	$101.15
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 / $58.55 / $102.18	Professional		$0.36	$58.55	$102.18
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,754.00 / $8,000.00	Facility		$200.00	$1,754.00	$8,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $82.78 / $138.32	Professional		$54.87	$82.78	$138.32
United Facility/Professional Professional Modifier 50 Low / Median / High Price $85.00 / $85.00 / $85.00	Professional	50	$85.00	$85.00	$85.00