Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.00 / $1,508.00 / $4,396.00	Facility		$436.00	$1,508.00	$4,396.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $770.00 / $784.00 / $784.00	Facility	50	$770.00	$784.00	$784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $80.91 / $371.00	Professional		$41.87	$80.91	$371.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.92 / $492.00 / $502.50	Professional	50	$80.92	$492.00	$502.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $66.45 / $66.45	Professional		$66.45	$66.45	$66.45
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $233.57 / $233.57 / $233.57	Professional	50	$233.57	$233.57	$233.57
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 $47.49 / $56.24 / $79.89	Professional		$47.49	$56.24	$79.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.33 / $119.83 / $122.65	Professional	50	$82.33	$119.83	$122.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.65 / $47.65 / $47.65	Facility		$47.65	$47.65	$47.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $87.82 / $142.97	Professional		$47.60	$87.82	$142.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $65.79 / $127.17	Professional		$0.48	$65.79	$127.17
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $57.05 / $120.74	Professional		$0.36	$57.05	$120.74
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $104.64 / $148.25	Professional		$72.43	$104.64	$148.25