Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.86 / $1,639.00 / $4,473.00	Facility		$434.86	$1,639.00	$4,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $50.84 / $53.15 / $217.43	Facility	52	$50.84	$53.15	$217.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $415.95 / $462.63	Professional		$100.39	$415.95	$462.63
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 $108.97 / $444.55 / $683.92	Professional		$108.97	$444.55	$683.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.29 / $397.29 / $397.29	Facility		$397.29	$397.29	$397.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $378.91 / $685.37	Professional		$103.14	$378.91	$685.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $370.69 / $687.84	Professional		$87.32	$370.69	$687.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $777.59 / $777.59	Facility		$405.72	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $102.72 / $608.58	Professional		$91.92	$102.72	$608.58
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.49 / $577.00 / $843.01	Professional		$465.49	$577.00	$843.01