Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,675.50	Facility		$950.00	$2,173.00	$4,675.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $994.50 / $1,629.75 / $3,259.50	Facility	50	$994.50	$1,629.75	$3,259.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $757.25 / $2,336.85	Professional		$297.81	$757.25	$2,336.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,332.66 / $2,332.66 / $6,015.33	Professional	50	$2,332.66	$2,332.66	$6,015.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $272.89 / $585.77	Professional		$136.44	$272.89	$585.77
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $204.67 / $315.48 / $315.48	Professional	50	$204.67	$315.48	$315.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.38 / $1,399.94 / $2,546.34	Professional		$350.38	$1,399.94	$2,546.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $447.01 / $2,196.27 / $2,968.66	Professional	50	$447.01	$2,196.27	$2,968.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $572.00 / $2,770.60	Professional		$307.20	$572.00	$2,770.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.02 / $423.11 / $2,137.23	Professional		$190.02	$423.11	$2,137.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $380.04 / $2,029.02	Professional		$5.52	$380.04	$2,029.02
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,042.57 / $2,161.48 / $3,285.47	Professional		$1,042.57	$2,161.48	$3,285.47