Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $1,706.00 / $4,396.00	Facility		$712.50	$1,706.00	$4,396.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $678.50 / $1,059.78 / $1,059.78	Facility	50	$678.50	$1,059.78	$1,059.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $181.49 / $924.29	Professional		$54.79	$181.49	$924.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.45 / $258.81 / $494.55	Professional	50	$76.45	$258.81	$494.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $122.72 / $122.72	Professional		$122.72	$122.72	$122.72
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $84.49 / $84.49 / $84.49	Professional	50	$84.49	$84.49	$84.49
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 $65.56 / $73.77 / $104.66	Professional		$65.56	$73.77	$104.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.03 / $114.49 / $384.64	Professional	50	$109.03	$114.49	$384.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $169.00 / $374.05	Professional		$61.41	$169.00	$374.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $83.78 / $361.60	Professional		$1.92	$83.78	$361.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $75.26 / $376.67	Professional		$1.44	$75.26	$376.67
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 $160.71 / $239.67 / $366.70	Professional		$160.71	$239.67	$366.70