Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,730.00	Facility		$950.00	$2,173.00	$4,730.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $68.54 / $71.97 / $136.63	Facility	52	$68.54	$71.97	$136.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $260.27 / $689.68	Professional		$137.07	$260.27	$689.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.93 / $252.46 / $410.81	Professional		$145.93	$252.46	$410.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.45 / $833.45 / $833.45	Facility		$833.45	$833.45	$833.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $246.73 / $402.48	Professional		$124.57	$246.73	$402.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $281.08 / $881.06	Professional		$112.67	$281.08	$881.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $881.06 / $1,905.85 / $1,905.85	Facility		$881.06	$1,905.85	$1,905.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $124.69 / $421.64	Professional		$118.60	$124.69	$421.64
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.04 / $353.66 / $468.53	Professional		$248.04	$353.66	$468.53