Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.14 / $1,706.00 / $4,473.00	Facility		$221.14	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $177.30 / $746.00	Professional		$84.15	$177.30	$746.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $689.01 / $1,119.00 / $1,279.50	Professional	50	$689.01	$1,119.00	$1,279.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.52 / $285.52 / $285.52	Professional		$285.52	$285.52	$285.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $199.09 / $298.30	Professional		$89.00	$199.09	$298.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $274.97 / $323.50 / $359.44	Professional	50	$274.97	$323.50	$359.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $140.88 / $140.88	Facility		$140.88	$140.88	$140.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $150.21 / $305.38	Professional		$86.25	$150.21	$305.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $161.97 / $311.52	Professional		$58.67	$161.97	$311.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $153.87 / $441.55 / $441.55	Facility		$153.87	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $97.79 / $230.81	Professional		$65.19	$97.79	$230.81
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
United Facility/Professional Professional Modifier Low / Median / High Price $179.97 / $223.60 / $340.98	Professional		$179.97	$223.60	$340.98