Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.31 / $2,173.00 / $4,473.00	Facility		$355.31	$2,173.00	$4,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.23 / $181.28 / $1,039.50	Facility	52	$94.23	$181.28	$1,039.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.69 / $72.51 / $177.65	Facility	53	$37.69	$72.51	$177.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $279.37 / $553.16	Professional		$180.09	$279.37	$553.16
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.01 / $86.03 / $184.65	Professional	53	$38.01	$86.03	$184.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.32 / $206.83 / $245.13	Professional		$160.32	$206.83	$245.13
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 $192.27 / $338.08 / $536.94	Professional		$192.27	$338.08	$536.94
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $119.93 / $192.31 / $363.63	Professional	53	$119.93	$192.31	$363.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $672.33 / $718.96	Facility		$515.00	$672.33	$718.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $390.77	Professional		$301.45	$301.45	$390.77
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $106.08 / $131.02 / $149.00	Professional	53	$106.08	$131.02	$149.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $146.18 / $376.07 / $624.29	Professional		$146.18	$376.07	$624.29
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $533.04 / $1,007.60 / $1,007.60	Facility		$533.04	$1,007.60	$1,007.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $243.63 / $564.11	Professional		$162.41	$243.63	$564.11
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,514.00 / $4,661.00	Facility		$408.00	$1,514.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $427.95 / $639.87	Professional		$315.83	$427.95	$639.87