Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.20 / $2,079.00 / $4,396.00	Facility		$475.20	$2,079.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.20 / $104.20 / $237.60	Facility	52	$104.20	$104.20	$237.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.68 / $41.68 / $95.04	Facility	53	$41.68	$41.68	$95.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.87 / $400.84 / $746.04	Professional		$207.87	$400.84	$746.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $102.51 / $118.13	Professional		$102.51	$102.51	$118.13
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 / $283.57 / $422.71	Professional		$195.09	$283.57	$422.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.97 / $869.42 / $929.73	Facility		$665.97	$869.42	$929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $402.00 / $736.56	Professional		$212.59	$402.00	$736.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $439.49 / $822.94	Professional		$157.86	$439.49	$822.94
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 / $732.51	Professional		$175.40	$263.10	$732.51
United Facility/Professional Facility Modifier Low / Median / High Price $548.60 / $1,967.00 / $3,658.00	Facility		$548.60	$1,967.00	$3,658.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.32 / $502.04 / $803.86	Professional		$397.32	$502.04	$803.86