Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.86 / $1,964.40 / $4,473.00	Facility		$465.86	$1,964.40	$4,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.20 / $104.20 / $232.93	Facility	52	$104.20	$104.20	$232.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.68 / $41.68 / $93.17	Facility	53	$41.68	$41.68	$93.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $402.56 / $1,021.01	Professional		$208.39	$402.56	$1,021.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $100.11 / $202.69 / $528.13	Professional	52	$100.11	$202.69	$528.13
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $40.04 / $78.64 / $125.28	Professional	53	$40.04	$78.64	$125.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $235.80 / $414.90	Professional		$172.40	$235.80	$414.90
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $33.32 / $33.32 / $33.32	Professional	52	$33.32	$33.32	$33.32
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 $195.09 / $295.33 / $423.06	Professional		$195.09	$295.33	$423.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $665.97 / $929.73	Facility		$580.00	$665.97	$929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.45 / $402.97 / $755.56	Professional		$219.45	$402.97	$755.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $430.48 / $807.53	Professional		$166.63	$430.48	$807.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $685.78 / $1,303.09 / $1,303.09	Facility		$685.78	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $263.10 / $717.47	Professional		$175.40	$263.10	$717.47
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 $406.61 / $511.19 / $799.94	Professional		$406.61	$511.19	$799.94