Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.81 / $348.18 / $803.00	Facility		$273.81	$348.18	$803.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $70.15 / $330.00	Professional		$45.66	$70.15	$330.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $183.83 / $183.83 / $183.83	Professional	50	$183.83	$183.83	$183.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $68.87 / $83.38	Professional		$68.87	$68.87	$83.38
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 $48.57 / $55.15 / $82.88	Professional		$48.57	$55.15	$82.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.74 / $98.77 / $110.61	Professional	50	$98.74	$98.77	$110.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $47.99 / $47.99	Facility		$47.99	$47.99	$47.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $77.22 / $117.51	Professional		$49.36	$77.22	$117.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $70.73 / $124.19	Professional		$0.53	$70.73	$124.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.39 / $174.39 / $174.39	Facility		$174.39	$174.39	$174.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $72.50 / $123.33	Professional		$0.36	$72.50	$123.33
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 $57.31 / $79.75 / $114.66	Professional		$57.31	$79.75	$114.66