Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $285.47 / $820.00	Facility		$164.45	$285.47	$820.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $587.40 / $587.40 / $587.40	Facility	50	$587.40	$587.40	$587.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $64.54 / $315.00	Professional		$37.17	$64.54	$315.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.57 / $114.57 / $114.57	Professional	50	$114.57	$114.57	$114.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $100.32 / $100.32	Professional		$100.32	$100.32	$100.32
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 $41.68 / $46.26 / $68.45	Professional		$41.68	$46.26	$68.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.31 / $95.94 / $102.69	Professional	50	$80.31	$95.94	$102.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $67.62 / $104.82	Professional		$40.14	$67.62	$104.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $62.12 / $120.44	Professional		$0.40	$62.12	$120.44
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $60.90 / $118.08	Professional		$0.30	$60.90	$118.08
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 $58.24 / $76.44 / $114.65	Professional		$58.24	$76.44	$114.65