Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $4,730.00	Facility		$750.00	$1,713.00	$4,730.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,781.25 / $2,969.59 / $4,976.43	Facility	50	$1,781.25	$2,969.59	$4,976.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $407.68 / $1,172.24	Professional		$189.00	$407.68	$1,172.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $293.02 / $735.63 / $2,799.00	Professional	50	$293.02	$735.63	$2,799.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $277.76 / $277.76 / $605.26	Professional	50	$277.76	$277.76	$605.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.26 / $282.35 / $381.90	Professional		$215.26	$282.35	$381.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $377.87 / $408.21 / $692.95	Professional	50	$377.87	$408.21	$692.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.17 / $973.17 / $973.17	Facility		$973.17	$973.17	$973.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.04 / $402.07 / $701.24	Professional		$207.04	$402.07	$701.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $324.04 / $974.53	Professional		$3.84	$324.04	$974.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.16 / $2,158.16 / $2,158.16	Facility		$2,158.16	$2,158.16	$2,158.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $257.18 / $1,485.89	Professional		$2.88	$257.18	$1,485.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.73 / $529.66 / $782.69	Professional		$389.73	$529.66	$782.69