Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $2,809.00 / $14,793.30	Facility		$2,150.00	$2,809.00	$14,793.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,604.00 / $3,708.00 / $32,985.90	Facility	50	$3,604.00	$3,708.00	$32,985.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.85 / $1,233.75 / $2,744.55	Professional	50	$467.85	$1,233.75	$2,744.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $531.09 / $771.16 / $771.16	Professional	50	$531.09	$771.16	$771.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $519.79 / $2,525.66 / $3,833.40	Professional	50	$519.79	$2,525.66	$3,833.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $536.29 / $3,585.16	Professional		$190.00	$536.29	$3,585.16
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,974.27 / $5,974.27 / $5,974.27	Facility		$5,974.27	$5,974.27	$5,974.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00