Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $1,639.00 / $4,473.00	Facility		$49.26	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $48.22 / $209.00	Professional		$32.10	$48.22	$209.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.44 / $64.88 / $282.00	Professional	50	$40.44	$64.88	$282.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $44.59	Professional		$37.90	$37.90	$44.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $95.64 / $95.64 / $95.64	Professional	50	$95.64	$95.64	$95.64
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 $30.84 / $34.22 / $57.38	Professional		$30.84	$34.22	$57.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $51.21 / $65.13 / $85.18	Professional	50	$51.21	$65.13	$85.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $23.48 / $23.48	Facility		$23.48	$23.48	$23.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $51.10 / $80.37	Professional		$34.79	$51.10	$80.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $40.09 / $78.56	Professional		$0.48	$40.09	$78.56
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 $0.36 / $36.81 / $74.59	Professional		$0.36	$36.81	$74.59
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 $45.44 / $59.92 / $86.94	Professional		$45.44	$59.92	$86.94