Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.34 / $1,217.82 / $4,396.00	Facility		$438.34	$1,217.82	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.33 / $45.30 / $62.01	Facility	52	$43.33	$45.30	$62.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $118.06 / $224.55	Professional		$86.57	$118.06	$224.55
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 $76.88 / $107.01 / $182.07	Professional		$76.88	$107.01	$182.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $85.09 / $85.09	Facility		$85.09	$85.09	$85.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $114.56 / $188.30	Professional		$79.45	$114.56	$188.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $108.80 / $197.49	Professional		$83.68	$108.80	$197.49
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $125.67 / $136.01	Professional		$90.67	$125.67	$136.01
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 $105.48 / $133.56 / $233.73	Professional		$105.48	$133.56	$233.73