Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,473.00	Facility		$750.00	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $534.51 / $909.61	Professional		$115.88	$534.51	$909.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $987.86 / $987.86 / $987.86	Professional	50	$987.86	$987.86	$987.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $99.47 / $219.97	Professional		$49.74	$99.47	$219.97
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $329.95 / $329.95 / $329.95	Professional	50	$329.95	$329.95	$329.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.21 / $484.41 / $912.30	Professional		$128.21	$484.41	$912.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.37 / $752.26 / $1,220.46	Professional	50	$162.37	$752.26	$1,220.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $250.00 / $979.40	Professional		$115.16	$250.00	$979.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $158.13 / $781.59	Professional		$83.63	$158.13	$781.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $139.38 / $766.26	Professional		$1.20	$139.38	$766.26
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 $370.49 / $706.39 / $1,067.83	Professional		$370.49	$706.39	$1,067.83