Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $28.93 / $616.40	Facility		$16.88	$28.93	$616.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $681.80 / $681.80 / $681.80	Facility	50	$681.80	$681.80	$681.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $26.33 / $48.35	Professional		$16.14	$26.33	$48.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.35 / $67.31 / $91.95	Professional	50	$48.35	$67.31	$91.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $27.34 / $27.34	Professional		$27.34	$27.34	$27.34
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 $19.71 / $32.26 / $39.15	Professional		$19.71	$32.26	$39.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $26.67 / $33.54 / $42.61	Professional	50	$26.67	$33.54	$42.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $14.64 / $14.64	Facility		$14.64	$14.64	$14.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $33.34 / $52.07	Professional		$20.39	$33.34	$52.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $25.17 / $46.59	Professional		$0.26	$25.17	$46.59
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 $0.18 / $22.61 / $41.85	Professional		$0.18	$22.61	$41.85
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 $26.73 / $39.29 / $57.78	Professional		$26.73	$39.29	$57.78