Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,473.00	Facility		$750.00	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $458.81 / $530.97 / $631.85	Facility	54	$458.81	$530.97	$631.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.96 / $707.96 / $1,426.52	Professional		$517.96	$707.96	$1,426.52
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $440.60 / $545.99 / $669.62	Professional	54	$440.60	$545.99	$669.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $88.12 / $109.20 / $133.91	Professional	55	$88.12	$109.20	$133.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $663.96 / $663.96 / $663.96	Professional		$663.96	$663.96	$663.96
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 $535.51 / $643.29 / $776.99	Professional		$535.51	$643.29	$776.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $845.56 / $994.78 / $1,105.32	Professional	50	$845.56	$994.78	$1,105.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.83 / $521.83 / $521.83	Facility		$521.83	$521.83	$521.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.34 / $734.10 / $1,101.16	Professional		$496.34	$734.10	$1,101.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $468.27 / $717.81 / $1,064.11	Professional		$468.27	$717.81	$1,064.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,070.41 / $1,070.41 / $1,070.41	Facility		$1,070.41	$1,070.41	$1,070.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $520.29 / $663.96 / $850.98	Professional		$520.29	$663.96	$850.98
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,891.00 / $6,244.00	Facility		$721.00	$1,891.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.04 / $698.76 / $1,203.42	Professional		$554.04	$698.76	$1,203.42