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 Facility Modifier 50 Low / Median / High Price $819.50 / $819.50 / $819.50	Facility	50	$819.50	$819.50	$819.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $148.32 / $404.31 / $897.15	Professional	50	$148.32	$404.31	$897.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $173.76 / $252.17 / $252.17	Professional	50	$173.76	$252.17	$252.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $164.41 / $358.03 / $447.78	Professional	50	$164.41	$358.03	$447.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $176.61 / $405.17	Professional		$85.31	$176.61	$405.17
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00