Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $1,568.00 / $4,137.60	Facility		$748.00	$1,568.00	$4,137.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.82 / $63.82 / $158.99	Facility	52	$63.82	$63.82	$158.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.53 / $63.59 / $3,509.42	Facility	53	$25.53	$63.59	$3,509.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $261.87 / $643.03	Professional		$123.09	$261.87	$643.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $106.20 / $254.29	Professional		$81.69	$106.20	$254.29
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 $136.07 / $258.41 / $470.32	Professional		$136.07	$258.41	$470.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $529.64 / $739.41	Facility		$500.00	$529.64	$739.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $260.56 / $486.31	Professional		$129.91	$260.56	$486.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $289.70 / $571.84	Professional		$98.33	$289.70	$571.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $519.85 / $1,036.17 / $1,036.17	Facility		$519.85	$1,036.17	$1,036.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $163.88 / $482.84	Professional		$109.25	$163.88	$482.84
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.39 / $329.45 / $486.78	Professional		$247.39	$329.45	$486.78