Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.91 / $2,173.00 / $4,730.00	Facility		$719.91	$2,173.00	$4,730.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $135.02 / $135.02 / $359.96	Facility	52	$135.02	$135.02	$359.96
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.01 / $54.01 / $143.97	Facility	53	$54.01	$54.01	$143.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $544.47 / $950.55	Professional		$264.64	$544.47	$950.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.08 / $269.08 / $342.47	Professional		$269.08	$269.08	$342.47
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 $252.69 / $382.06 / $569.25	Professional		$252.69	$382.06	$569.25
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 $279.36 / $526.26 / $1,079.85	Professional		$279.36	$526.26	$1,079.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $201.65 / $560.00 / $1,092.38	Professional		$201.65	$560.00	$1,092.38
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 $224.06 / $336.09 / $1,028.67	Professional		$224.06	$336.09	$1,028.67
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 $571.64 / $766.64 / $1,301.29	Professional		$571.64	$766.64	$1,301.29