Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.62 / $3,042.00 / $6,953.00	Facility		$673.62	$3,042.00	$6,953.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $98.05 / $98.99 / $336.81	Facility	52	$98.05	$98.99	$336.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $538.65 / $793.13	Professional		$171.50	$538.65	$793.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.05 / $333.60 / $479.45	Professional	52	$98.05	$333.60	$479.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,886.00 / $6,164.00 / $9,964.00	Facility		$4,886.00	$6,164.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.04 / $611.91 / $997.11	Professional		$213.04	$611.91	$997.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.11 / $443.11 / $443.11	Facility		$443.11	$443.11	$443.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $492.27 / $1,026.73	Professional		$155.49	$492.27	$1,026.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $471.79 / $914.20	Professional		$133.00	$471.79	$914.20
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $471.79 / $3,478.55 / $3,478.55	Facility		$471.79	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $233.01 / $707.69	Professional		$155.34	$233.01	$707.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,644.00 / $9,500.00	Facility		$1,642.00	$3,644.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.67 / $792.27 / $1,216.51	Professional		$579.67	$792.27	$1,216.51