Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,653.00 / $4,892.35	Facility		$750.00	$1,653.00	$4,892.35
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $45.69 / $46.13 / $216.91	Facility	52	$45.69	$46.13	$216.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.27 / $18.45 / $86.76	Facility	53	$18.27	$18.45	$86.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $379.92 / $659.95	Professional		$81.62	$379.92	$659.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,931.00 / $5,930.00 / $9,964.00	Facility		$3,931.00	$5,930.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $394.85 / $657.51	Professional		$99.07	$394.85	$657.51
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 $70.92 / $320.83 / $597.16	Professional		$70.92	$320.83	$597.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $347.10 / $678.72	Professional		$64.04	$347.10	$678.72
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 $71.15 / $106.73 / $548.05	Professional		$71.15	$106.73	$548.05
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,605.00 / $9,500.00	Facility		$721.00	$2,605.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.30 / $529.75 / $716.94	Professional		$398.30	$529.75	$716.94