Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $5,475.90 / $12,592.34	Facility		$2,150.00	$5,475.90	$12,592.34
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $358.67 / $358.67 / $358.67	Facility	52	$358.67	$358.67	$358.67
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $143.47 / $143.47 / $143.47	Facility	53	$143.47	$143.47	$143.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.69 / $778.05 / $3,033.00	Professional		$632.69	$778.05	$3,033.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $578.44 / $867.66 / $1,385.08	Professional		$578.44	$867.66	$1,385.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,113.00 / $10,858.00 / $13,715.00	Facility		$5,113.00	$10,858.00	$13,715.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.54 / $828.88 / $1,235.00	Professional		$584.54	$828.88	$1,235.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,009.49 / $14,065.00 / $17,152.00	Facility		$3,009.49	$14,065.00	$17,152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.58 / $789.07 / $1,271.30	Professional		$555.58	$789.07	$1,271.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $763.39 / $3,797.93	Professional		$14.80	$763.39	$3,797.93
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,164.94 / $6,448.02 / $6,448.02	Facility		$3,164.94	$6,448.02	$6,448.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $635.65 / $4,747.41	Professional		$11.10	$635.65	$4,747.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,432.00 / $4,776.00 / $11,845.00	Facility		$1,432.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.21 / $767.60 / $1,208.97	Professional		$620.21	$767.60	$1,208.97