Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,730.00	Facility		$1,210.00	$2,173.00	$4,730.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $172.55 / $172.55 / $172.55	Facility	52	$172.55	$172.55	$172.55
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.02 / $69.02 / $69.02	Facility	53	$69.02	$69.02	$69.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.05 / $472.50 / $777.94	Professional		$324.05	$472.50	$777.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $356.30 / $356.30 / $356.30	Professional		$356.30	$356.30	$356.30
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 $298.56 / $429.97 / $660.28	Professional		$298.56	$429.97	$660.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.87 / $1,920.23 / $2,053.42	Facility		$1,470.87	$1,920.23	$2,053.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $405.00 / $626.83	Professional		$292.00	$405.00	$626.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $286.70 / $401.38 / $1,944.58	Professional		$286.70	$401.38	$1,944.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.83 / $3,030.83 / $3,030.83	Facility		$1,495.83	$3,030.83	$3,030.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $286.70 / $313.41 / $2,243.75	Professional		$286.70	$313.41	$2,243.75
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $415.32 / $635.55	Professional		$316.10	$415.32	$635.55