Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,639.00 / $4,396.00	Facility		$371.54	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.50 / $2,137.50 / $2,137.50	Facility	50	$2,137.50	$2,137.50	$2,137.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $201.14 / $857.00	Professional		$63.88	$201.14	$857.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $127.86 / $127.86	Professional		$127.86	$127.86	$127.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $84.82 / $164.15	Professional		$65.92	$84.82	$164.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.45 / $209.29 / $273.58	Professional	50	$93.45	$209.29	$273.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $163.69 / $403.02	Professional		$71.29	$163.69	$403.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $96.17 / $350.00	Professional		$51.26	$96.17	$350.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $85.44 / $347.73	Professional		$0.78	$85.44	$347.73
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 $189.43 / $275.10 / $508.54	Professional		$189.43	$275.10	$508.54