Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.50 / $2,173.00 / $4,602.00	Facility		$1,039.50	$2,173.00	$4,602.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.66 / $120.39 / $720.67	Facility	52	$114.66	$120.39	$720.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.31 / $867.86 / $2,167.23	Professional		$229.31	$867.86	$2,167.23
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 $244.85 / $769.01 / $2,026.63	Professional		$244.85	$769.01	$2,026.63
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 $189.06 / $735.29 / $1,725.90	Professional		$189.06	$735.29	$1,725.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $184.01 / $863.02 / $2,372.19	Professional		$184.01	$863.02	$2,372.19
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 $195.71 / $207.44 / $2,033.31	Professional		$195.71	$207.44	$2,033.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $906.54 / $1,250.40 / $1,967.26	Professional		$906.54	$1,250.40	$1,967.26