Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $2,472.00 / $10,300.00	Facility		$618.00	$2,472.00	$10,300.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,708.00 / $3,708.00 / $33,572.32	Facility	50	$3,708.00	$3,708.00	$33,572.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $879.86 / $3,034.57	Professional		$312.25	$879.86	$3,034.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.31 / $1,806.89 / $2,710.34	Professional	50	$156.31	$1,806.89	$2,710.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.66 / $255.25 / $255.25	Professional		$175.66	$255.25	$255.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $263.49 / $263.49 / $263.49	Professional	50	$263.49	$263.49	$263.49
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 Low / Median / High Price $416.61 / $1,751.36 / $3,219.19	Professional		$416.61	$1,751.36	$3,219.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $520.80 / $2,667.40 / $3,696.36	Professional	50	$520.80	$2,667.40	$3,696.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $1,476.04 / $3,319.64	Professional		$373.53	$1,476.04	$3,319.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $532.21 / $3,486.26	Professional		$190.00	$532.21	$3,486.26
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
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $478.04 / $3,417.90	Professional		$4.20	$478.04	$3,417.90
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
United Facility/Professional Professional Modifier Low / Median / High Price $1,782.71 / $2,416.27 / $3,788.28	Professional		$1,782.71	$2,416.27	$3,788.28