Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.67 / $1,639.00 / $4,396.00	Facility		$967.67	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.57 / $33.14 / $193.53	Facility	53	$31.57	$33.14	$193.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.03 / $222.36 / $1,193.63	Professional		$151.03	$222.36	$1,193.63
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 $168.67 / $868.79 / $1,537.09	Professional		$168.67	$868.79	$1,537.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $794.52 / $1,382.38	Professional		$127.78	$794.52	$1,382.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $774.84 / $1,355.97	Professional		$148.03	$774.84	$1,355.97
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $193.08 / $1,162.26	Professional		$128.72	$193.08	$1,162.26
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $989.80 / $1,272.59 / $1,800.64	Professional		$989.80	$1,272.59	$1,800.64