Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $594.64 / $594.64 / $621.66	Facility	52	$594.64	$594.64	$621.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.39 / $1,211.20 / $1,978.71	Professional		$1,062.39	$1,211.20	$1,978.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.79 / $1,212.16 / $1,804.59	Professional		$1,009.79	$1,212.16	$1,804.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.40 / $2,059.40 / $2,059.40	Facility		$2,059.40	$2,059.40	$2,059.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.27 / $1,325.70 / $2,137.08	Professional		$994.27	$1,325.70	$2,137.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $1,573.94 / $2,229.21	Professional		$22.17	$1,573.94	$2,229.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,046.03 / $4,046.03 / $4,046.03	Facility		$4,046.03	$4,046.03	$4,046.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $1,214.63 / $3,039.84	Professional		$11.40	$1,214.63	$3,039.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,252.81 / $1,441.29 / $2,358.10	Professional		$1,252.81	$1,441.29	$2,358.10