Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.99 / $70.51 / $438.15	Facility		$50.99	$70.51	$438.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $81.65 / $352.00	Professional		$53.02	$81.65	$352.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $118.88	Professional	50	$118.88	$118.88	$118.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $75.19 / $75.19	Professional		$75.19	$75.19	$75.19
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 $55.74 / $68.34 / $96.34	Professional		$55.74	$68.34	$96.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.06 / $104.16 / $115.74	Professional	50	$80.06	$104.16	$115.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $49.01 / $49.01	Facility		$49.01	$49.01	$49.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $89.09 / $134.08	Professional		$56.03	$89.09	$134.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $72.34 / $124.03	Professional		$0.88	$72.34	$124.03
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $293.51 / $293.51 / $293.51	Facility		$293.51	$293.51	$293.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $75.19 / $120.57	Professional		$0.60	$75.19	$120.57
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 $71.61 / $94.64 / $141.05	Professional		$71.61	$94.64	$141.05