Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.61 / $2,173.00 / $4,730.00	Facility		$242.61	$2,173.00	$4,730.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $33.29 / $34.97 / $103.83	Facility	52	$33.29	$34.97	$103.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $197.76 / $982.00	Professional		$66.59	$197.76	$982.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.29 / $98.88 / $118.93	Professional	52	$33.29	$98.88	$118.93
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 $70.88 / $185.42 / $285.26	Professional		$70.88	$185.42	$285.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $109.89 / $109.89	Facility		$109.89	$109.89	$109.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $158.16 / $287.88	Professional		$64.80	$158.16	$287.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $126.04 / $304.39	Professional		$50.47	$126.04	$304.39
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $114.58 / $214.56 / $214.56	Facility		$114.58	$214.56	$214.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $61.62 / $183.24	Professional		$53.90	$61.62	$183.24
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 $177.35 / $224.68 / $334.27	Professional		$177.35	$224.68	$334.27