Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.06 / $269.44 / $3,605.00	Facility		$108.06	$269.44	$3,605.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.38 / $76.13	Professional		$12.49	$17.38	$76.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $23.46 / $62.10 / $115.40	Professional	50	$23.46	$62.10	$115.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.17 / $7.46 / $38.29	Professional	52	$7.17	$7.46	$38.29
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.87 / $2.98 / $15.32	Professional	53	$2.87	$2.98	$15.32
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $21.14 / $21.14 / $21.14	Professional	50	$21.14	$21.14	$21.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $20.47 / $26.08	Professional		$15.87	$20.47	$26.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $20.82 / $24.50 / $27.22	Professional	50	$20.82	$24.50	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $14.48 / $23.54	Professional		$10.42	$14.48	$23.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $19.55 / $29.75	Professional		$0.24	$19.55	$29.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $65.65 / $65.65	Facility		$65.65	$65.65	$65.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $15.15 / $25.50	Professional		$0.18	$15.15	$25.50
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $17.05 / $25.89	Professional		$13.63	$17.05	$25.89