Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.50 / $2,052.00 / $4,396.00	Facility		$846.50	$2,052.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.97 / $54.97 / $156.54	Facility	52	$54.97	$54.97	$156.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.99 / $21.99 / $62.61	Facility	53	$21.99	$21.99	$62.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $275.97 / $555.37	Professional		$97.14	$275.97	$555.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.34 / $251.34 / $252.21	Professional		$153.34	$251.34	$252.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $262.54 / $452.08	Professional		$107.39	$262.54	$452.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.64 / $691.45 / $739.41	Facility		$529.64	$691.45	$739.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.37 / $279.49 / $479.89	Professional		$105.37	$279.49	$479.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $269.44 / $519.85	Professional		$82.53	$269.44	$519.85
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $519.85 / $1,036.17 / $1,036.17	Facility		$519.85	$1,036.17	$1,036.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $137.55 / $425.43	Professional		$91.70	$137.55	$425.43
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 $281.23 / $376.19 / $573.53	Professional		$281.23	$376.19	$573.53