Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.57 / $1,639.00 / $4,396.00	Facility		$307.57	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.99 / $36.99 / $153.79	Facility	52	$36.99	$36.99	$153.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.80 / $14.80 / $61.51	Facility	53	$14.80	$14.80	$61.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $157.77 / $426.89	Professional		$68.34	$157.77	$426.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $63.14 / $78.06	Professional		$47.35	$63.14	$78.06
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 $69.69 / $151.50 / $445.53	Professional		$69.69	$151.50	$445.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $515.00 / $718.96	Facility		$320.00	$515.00	$718.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $151.91 / $425.03	Professional		$72.90	$151.91	$425.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $162.00 / $580.48	Professional		$59.45	$162.00	$580.48
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $533.04 / $1,007.60 / $1,007.60	Facility		$533.04	$1,007.60	$1,007.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $99.08 / $483.74	Professional		$66.05	$99.08	$483.74
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,514.00 / $4,661.00	Facility		$408.00	$1,514.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.21 / $277.35 / $481.93	Professional		$162.21	$277.35	$481.93