Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.22 / $1,639.00 / $4,473.00	Facility		$76.22	$1,639.00	$4,473.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $379.17 / $379.17 / $379.17	Facility	50	$379.17	$379.17	$379.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $76.22 / $407.88	Professional		$53.12	$76.22	$407.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.04 / $159.18 / $778.50	Professional	50	$107.04	$159.18	$778.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.75 / $85.75 / $151.32	Professional	50	$85.75	$85.75	$151.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $62.90 / $90.41	Professional		$52.51	$62.90	$90.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.79 / $104.97 / $138.90	Professional	50	$74.79	$104.97	$138.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.77 / $37.77 / $37.77	Facility		$37.77	$37.77	$37.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $95.39 / $151.53	Professional		$59.91	$95.39	$151.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $70.29 / $129.76	Professional		$0.62	$70.29	$129.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $64.68 / $116.55	Professional		$0.42	$64.68	$116.55
United Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $1,048.00 / $1,975.00	Facility		$39.79	$1,048.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $104.95 / $155.53	Professional		$70.38	$104.95	$155.53