Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,454.71 / $5,011.87	Facility		$363.08	$2,454.71	$5,011.87
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	52	$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $95.50 / $95.50 / $181.97	Facility	53	$95.50	$95.50	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $794.33	Professional		$169.82	$281.84	$794.33
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $125.89 / $245.47	Professional	53	$64.57	$125.89	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $173.78 / $208.93	Professional		$169.82	$173.78	$208.93
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	53	$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $602.56	Professional		$190.55	$338.84	$602.56
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $120.23 / $162.18 / $309.03	Professional	53	$120.23	$162.18	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $724.44	Facility		$512.86	$691.83	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $107.15 / $131.83 / $151.36	Professional	53	$107.15	$131.83	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $389.05 / $616.60	Professional		$154.88	$389.05	$616.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $562.34 / $794.33	Professional		$245.47	$562.34	$794.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $380.19	Professional		$162.18	$346.74	$380.19
Select Health Facility/Professional Professional Modifier 53 Low / Median / High Price $107.15 / $229.09 / $354.81	Professional	53	$107.15	$229.09	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,513.56 / $4,786.30	Facility		$407.38	$1,513.56	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $562.34	Professional		$186.21	$338.84	$562.34