Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.66 / $1,580.15 / $2,475.89	Facility		$514.66	$1,580.15	$2,475.89
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $144.30 / $158.57 / $175.00	Facility	52	$144.30	$158.57	$175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.44 / $237.85 / $262.50	Facility	54	$216.44	$237.85	$262.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.24 / $311.27 / $592.76	Professional		$247.24	$311.27	$592.76
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 $301.89 / $335.10 / $492.86	Professional		$301.89	$335.10	$492.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.16 / $375.21 / $570.83	Professional		$255.16	$375.21	$570.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $363.40 / $654.12	Professional		$2.82	$363.40	$654.12
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $337.62 / $644.90	Professional		$1.92	$337.62	$644.90
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 $267.08 / $350.96 / $581.21	Professional		$267.08	$350.96	$581.21