Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.02 / $1,706.00 / $4,473.00	Facility		$191.02	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $60.16 / $63.17 / $95.51	Facility	52	$60.16	$63.17	$95.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.32 / $181.76 / $285.13	Professional		$120.32	$181.76	$285.13
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 $128.11 / $195.55 / $260.63	Professional		$128.11	$195.55	$260.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.27 / $287.27 / $287.27	Facility		$287.27	$287.27	$287.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $174.47 / $272.88	Professional		$108.27	$174.47	$272.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $180.92 / $339.38	Professional		$95.48	$180.92	$339.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $308.52 / $562.80 / $562.80	Facility		$308.52	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $111.30 / $257.60	Professional		$100.51	$111.30	$257.60
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,709.00 / $1,975.00	Facility		$200.00	$1,709.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $212.69 / $307.45	Professional		$170.80	$212.69	$307.45