Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.25 / $2,052.00 / $4,396.00	Facility		$497.25	$2,052.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $79.87 / $79.87 / $592.39	Facility	52	$79.87	$79.87	$592.39
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.95 / $31.95 / $236.95	Facility	53	$31.95	$31.95	$236.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $233.21 / $1,255.80	Professional		$149.91	$233.21	$1,255.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $132.37 / $164.83	Professional		$66.18	$132.37	$164.83
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 $169.87 / $286.38 / $1,777.81	Professional		$169.87	$286.38	$1,777.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.22 / $1,186.98 / $1,269.31	Facility		$909.22	$1,186.98	$1,269.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $254.03 / $1,717.91	Professional		$149.90	$254.03	$1,717.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $235.62 / $1,680.95	Professional		$87.52	$235.62	$1,680.95
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.86 / $2,096.52 / $2,096.52	Facility		$933.86	$2,096.52	$2,096.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $201.96 / $1,400.79	Professional		$134.63	$201.96	$1,400.79
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $1,086.75 / $1,894.00	Professional		$171.28	$1,086.75	$1,894.00