Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.47 / $1,713.00 / $4,473.00	Facility		$290.47	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $248.05 / $418.87	Professional		$47.13	$248.05	$418.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $43.84 / $43.84	Professional		$43.84	$43.84	$43.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $65.76 / $65.76 / $65.76	Professional	50	$65.76	$65.76	$65.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $260.83 / $448.92	Professional		$56.04	$260.83	$448.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.45 / $405.06 / $621.15	Professional	50	$69.45	$405.06	$621.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $250.00 / $501.81	Professional		$49.81	$250.00	$501.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $68.98 / $407.71	Professional		$36.77	$68.98	$407.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $61.29 / $366.21	Professional		$1.50	$61.29	$366.21
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $393.80 / $573.92	Professional		$283.58	$393.80	$573.92