Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.79 / $2,173.00 / $4,841.00	Facility		$465.79	$2,173.00	$4,841.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,191.50 / $2,191.50 / $2,191.50	Facility	50	$2,191.50	$2,191.50	$2,191.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.86 / $357.61 / $543.57	Professional		$211.86	$357.61	$543.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $114.04 / $114.04	Professional	50	$114.04	$114.04	$114.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $106.54 / $540.78	Professional		$106.54	$106.54	$540.78
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 $233.50 / $286.02 / $391.80	Professional		$233.50	$286.02	$391.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $473.26 / $556.78 / $618.64	Professional	50	$473.26	$556.78	$618.64
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 $217.11 / $379.43 / $704.56	Professional		$217.11	$379.43	$704.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $372.53 / $1,136.54	Professional		$172.78	$372.53	$1,136.54
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 $191.98 / $287.97 / $558.79	Professional		$191.98	$287.97	$558.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,299.00 / $7,138.00	Facility		$1,282.00	$2,299.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.36 / $438.59 / $710.33	Professional		$375.36	$438.59	$710.33