Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,698.24 / $5,011.87	Facility		$263.03	$1,698.24	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	50	$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $436.52 / $891.25	Professional	50	$147.91	$436.52	$891.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $147.91 / $165.96	Professional	50	$147.91	$147.91	$165.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $371.54 / $741.31	Professional	50	$199.53	$371.54	$741.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $213.80 / $407.38	Professional		$77.62	$213.80	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74