Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.80 / $1,639.00 / $4,473.00	Facility		$223.80	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $190.35 / $431.52	Professional		$77.04	$190.35	$431.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.38 / $630.38 / $630.38	Professional	50	$630.38	$630.38	$630.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $73.59 / $73.59	Professional		$73.59	$73.59	$73.59
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 $83.32 / $99.95 / $157.47	Professional		$83.32	$99.95	$157.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $116.65 / $161.05 / $356.58	Professional	50	$116.65	$161.05	$356.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $391.14 / $391.14	Facility		$391.14	$391.14	$391.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $186.47 / $353.36	Professional		$85.00	$186.47	$353.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $231.00 / $445.05	Professional		$72.44	$231.00	$445.05
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 $72.44 / $210.79 / $606.89	Professional		$72.44	$210.79	$606.89
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 $193.60 / $272.25 / $385.22	Professional		$193.60	$272.25	$385.22