Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.27 / $1,639.00 / $10,300.00	Facility		$269.27	$1,639.00	$10,300.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.00 / $46.44 / $119.66	Facility	52	$46.00	$46.44	$119.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.39 / $18.57 / $47.86	Facility	53	$18.39	$18.57	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $156.59 / $466.42	Professional		$91.99	$156.59	$466.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $110.81 / $173.08	Professional		$79.43	$110.81	$173.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,931.00 / $5,930.00 / $9,964.00	Facility		$3,931.00	$5,930.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $216.40 / $360.36	Professional		$99.47	$216.40	$360.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,671.54 / $1,671.54 / $1,671.54	Facility		$1,671.54	$1,671.54	$1,671.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $199.19 / $366.20	Professional		$101.23	$199.19	$366.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $239.17 / $1,695.46	Professional		$68.59	$239.17	$1,695.46
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.46 / $3,478.55 / $3,478.55	Facility		$1,695.46	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $114.33 / $355.05	Professional		$76.22	$114.33	$355.05
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,709.00 / $9,500.00	Facility		$408.00	$1,709.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.95 / $314.07 / $413.43	Professional		$221.95	$314.07	$413.43