Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,473.00	Facility		$750.00	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.55 / $9.55 / $9.64	Facility	53	$9.55	$9.55	$9.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $51.30 / $240.00	Professional		$43.60	$51.30	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $21.14 / $21.14	Professional		$21.14	$21.14	$21.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,886.00 / $6,164.00 / $12,455.00	Facility		$4,886.00	$6,164.00	$12,455.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $61.12 / $87.57	Professional		$46.94	$61.12	$87.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $59.93 / $82.63	Professional		$42.16	$59.93	$82.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $52.40 / $77.00	Professional		$0.97	$52.40	$77.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $40.31 / $60.47	Professional		$0.66	$40.31	$60.47
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $9,500.00	Facility		$200.00	$1,427.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $60.16 / $84.82	Professional		$45.43	$60.16	$84.82