Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,793.00 / $9,728.00	Facility		$2,150.00	$4,793.00	$9,728.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $546.72 / $546.72 / $574.05	Facility	52	$546.72	$546.72	$574.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,103.51 / $4,378.00	Professional		$907.79	$1,103.51	$4,378.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.07 / $1,244.83 / $1,791.54	Professional		$1,024.07	$1,244.83	$1,791.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,069.49 / $3,069.49 / $3,069.49	Facility		$3,069.49	$3,069.49	$3,069.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.13 / $1,125.00 / $1,640.16	Professional		$833.13	$1,125.00	$1,640.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $1,207.04 / $3,949.19	Professional		$16.32	$1,207.04	$3,949.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,159.35 / $6,537.87 / $6,537.87	Facility		$3,159.35	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $985.20 / $4,739.03	Professional		$11.10	$985.20	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $11,445.00	Facility		$2,042.00	$4,145.00	$11,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.71 / $1,149.47 / $1,891.45	Professional		$880.71	$1,149.47	$1,891.45