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 / $5,233.84	Facility		$750.00	$1,639.00	$5,233.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $158.84 / $821.00	Professional		$67.73	$158.84	$821.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $689.33 / $689.33 / $1,571.75	Professional	50	$689.33	$689.33	$1,571.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $143.24 / $143.24	Professional		$143.24	$143.24	$143.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $171.33 / $263.58	Professional		$75.77	$171.33	$263.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $232.29 / $273.29 / $303.66	Professional	50	$232.29	$273.29	$303.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $141.76 / $259.56	Professional		$63.09	$141.76	$259.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $167.23 / $1,303.54	Professional		$58.66	$167.23	$1,303.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.54 / $3,163.08 / $3,163.08	Facility		$1,303.54	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $71.15 / $264.64	Professional		$61.75	$71.15	$264.64
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $222.30 / $308.17	Professional		$172.90	$222.30	$308.17