Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,235.00 / $4,841.00	Facility		$1,210.00	$2,235.00	$4,841.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $203.78 / $203.78 / $223.93	Facility	52	$203.78	$203.78	$223.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.51 / $408.47 / $1,767.00	Professional		$384.51	$408.47	$1,767.00
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 $442.81 / $483.91 / $721.60	Professional		$442.81	$483.91	$721.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.97 / $570.36 / $806.16	Professional		$398.97	$570.36	$806.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $490.21 / $1,889.33	Professional		$4.63	$490.21	$1,889.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $408.64 / $2,576.36	Professional		$3.48	$408.64	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,331.00 / $7,138.00	Facility		$1,282.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.93 / $514.91 / $815.07	Professional		$383.93	$514.91	$815.07