Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.36 / $2,052.00 / $4,473.00	Facility		$908.36	$2,052.00	$4,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $90.78 / $95.31 / $207.59	Facility	52	$90.78	$95.31	$207.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $343.01 / $627.69	Professional		$169.06	$343.01	$627.69
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 $194.44 / $363.41 / $581.03	Professional		$194.44	$363.41	$581.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,694.29 / $1,694.29 / $1,694.29	Facility		$1,694.29	$1,694.29	$1,694.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $326.77 / $587.69	Professional		$165.95	$326.77	$587.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $378.00 / $1,771.40	Professional		$147.97	$378.00	$1,771.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.40 / $4,074.74 / $4,074.74	Facility		$1,771.40	$4,074.74	$4,074.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $156.85 / $165.12 / $610.91	Professional		$156.85	$165.12	$610.91
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $468.00 / $655.20	Professional		$364.00	$468.00	$655.20