Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,079.00 / $4,396.00	Facility		$950.00	$2,079.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $132.59 / $132.59 / $242.98	Facility	52	$132.59	$132.59	$242.98
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $53.03 / $53.03 / $97.19	Facility	53	$53.03	$53.03	$97.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.55 / $413.22 / $1,038.99	Professional		$258.55	$413.22	$1,038.99
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $50.48 / $84.58 / $140.22	Professional	53	$50.48	$84.58	$140.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.91 / $264.11 / $417.13	Professional		$215.91	$264.11	$417.13
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 $248.03 / $354.44 / $497.58	Professional		$248.03	$354.44	$497.58
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 $265.26 / $455.00 / $810.10	Professional		$265.26	$455.00	$810.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $461.36 / $831.39	Professional		$200.00	$461.36	$831.39
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 $220.66 / $330.99 / $746.76	Professional		$220.66	$330.99	$746.76
United Facility/Professional Facility Modifier Low / Median / High Price $548.60 / $1,891.00 / $3,658.00	Facility		$548.60	$1,891.00	$3,658.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.78 / $549.48 / $839.69	Professional		$430.78	$549.48	$839.69