Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $3,042.00 / $6,953.00	Facility		$908.11	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $644.54 / $980.80	Professional		$519.99	$644.54	$980.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $733.32 / $980.07 / $4,506.14	Professional	50	$733.32	$980.07	$4,506.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $569.20 / $569.20 / $1,081.56	Professional		$569.20	$569.20	$1,081.56
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 $538.30 / $659.59 / $796.40	Professional		$538.30	$659.59	$796.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $913.86 / $1,075.14 / $1,194.59	Professional	50	$913.86	$1,075.14	$1,194.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.51 / $1,079.51 / $1,079.51	Facility		$1,079.51	$1,079.51	$1,079.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.69 / $771.12 / $1,187.00	Professional		$505.69	$771.12	$1,187.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $454.17 / $873.01 / $1,309.00	Professional		$454.17	$873.01	$1,309.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $504.63 / $706.03 / $1,112.52	Professional		$504.63	$706.03	$1,112.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,000.00 / $7,138.00	Facility		$1,282.00	$3,000.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.98 / $758.41 / $1,297.04	Professional		$615.98	$758.41	$1,297.04