Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.91 / $2,173.00 / $4,841.00	Facility		$748.91	$2,173.00	$4,841.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $77.34 / $81.22 / $374.46	Facility	52	$77.34	$81.22	$374.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $713.25 / $1,132.25	Professional		$138.65	$713.25	$1,132.25
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 $165.26 / $671.58 / $1,175.17	Professional		$165.26	$671.58	$1,175.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.38 / $665.38 / $665.38	Facility		$665.38	$665.38	$665.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $666.84 / $1,123.45	Professional		$138.93	$666.84	$1,123.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $610.85 / $1,092.34	Professional		$121.07	$610.85	$1,092.34
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $678.72 / $1,716.83 / $1,716.83	Facility		$678.72	$1,716.83	$1,716.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $140.21 / $970.52	Professional		$127.44	$140.21	$970.52
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.32 / $1,003.89 / $1,814.02	Professional		$595.32	$1,003.89	$1,814.02