Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.32 / $1,706.00 / $4,473.00	Facility		$180.32	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $142.96 / $373.65	Professional		$103.78	$142.96	$373.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.76 / $246.75 / $1,160.29	Professional	50	$172.76	$246.75	$1,160.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $128.72 / $138.41	Professional		$69.20	$128.72	$138.41
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $193.09 / $193.09 / $193.09	Professional	50	$193.09	$193.09	$193.09
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 $106.67 / $130.08 / $157.78	Professional		$106.67	$130.08	$157.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $181.05 / $213.00 / $236.67	Professional	50	$181.05	$213.00	$236.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $95.63 / $95.63	Facility		$95.63	$95.63	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.34 / $159.26 / $272.75	Professional		$119.34	$159.26	$272.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $143.69 / $239.36	Professional		$90.22	$143.69	$239.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $330.37 / $330.37 / $330.37	Facility		$330.37	$330.37	$330.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $138.41 / $154.82	Professional		$103.21	$138.41	$154.82
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 $126.54 / $152.38 / $264.61	Professional		$126.54	$152.38	$264.61