Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.70 / $1,639.00 / $4,396.00	Facility		$371.70	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,413.79 / $1,413.79 / $1,413.79	Facility	50	$1,413.79	$1,413.79	$1,413.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.98 / $10.19 / $22.42	Facility	53	$9.98	$10.19	$22.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $103.90 / $519.96	Professional		$48.18	$103.90	$519.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.93 / $135.18 / $329.02	Professional	50	$69.93	$135.18	$329.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $105.55 / $105.55	Professional		$105.55	$105.55	$105.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.08 / $63.35 / $89.75	Professional		$57.08	$63.35	$89.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.06 / $100.70 / $133.56	Professional	50	$97.06	$100.70	$133.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $110.66 / $211.39	Professional		$53.64	$110.66	$211.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $71.23 / $185.19	Professional		$0.80	$71.23	$185.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $64.98 / $175.82	Professional		$0.60	$64.98	$175.82
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $147.22 / $217.33	Professional		$97.68	$147.22	$217.33