Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.50 / $2,173.00 / $9,209.25	Facility		$1,086.50	$2,173.00	$9,209.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $19,133.09 / $19,133.09 / $19,133.09	Facility	50	$19,133.09	$19,133.09	$19,133.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,486.06 / $2,531.30	Professional		$284.02	$1,486.06	$2,531.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $156.56 / $156.56	Professional		$156.56	$156.56	$156.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.88 / $1,397.64 / $2,525.88	Professional		$377.88	$1,397.64	$2,525.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $466.63 / $2,138.46 / $2,900.26	Professional	50	$466.63	$2,138.46	$2,900.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.28 / $1,323.33 / $2,608.17	Professional		$331.28	$1,323.33	$2,608.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $475.77 / $2,731.69	Professional		$190.00	$475.77	$2,731.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.55 / $3,478.55 / $3,478.55	Facility		$3,478.55	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $427.34 / $2,678.13	Professional		$3.90	$427.34	$2,678.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,531.25 / $2,027.96 / $2,995.84	Professional		$1,531.25	$2,027.96	$2,995.84