Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.14 / $1,706.00 / $4,473.00	Facility		$294.14	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.19 / $427.12 / $856.93	Professional		$247.19	$427.12	$856.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $639.87 / $639.87	Professional	50	$639.87	$639.87	$639.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $400.05 / $449.15	Professional		$282.08	$400.05	$449.15
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 $217.87 / $285.08 / $568.22	Professional		$217.87	$285.08	$568.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $312.51 / $367.65 / $408.51	Professional	50	$312.51	$367.65	$408.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.81 / $152.81 / $152.81	Facility		$152.81	$152.81	$152.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.83 / $433.73 / $786.61	Professional		$252.83	$433.73	$786.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $287.07 / $619.72	Professional		$147.63	$287.07	$619.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $606.29 / $606.29 / $606.29	Facility		$606.29	$606.29	$606.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $187.70 / $232.53 / $281.55	Professional		$187.70	$232.53	$281.55
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.83 / $518.84 / $902.13	Professional		$390.83	$518.84	$902.13