Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.48 / $2,544.60 / $5,542.00	Facility		$791.48	$2,544.60	$5,542.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.30 / $116.30 / $395.74	Facility	52	$116.30	$116.30	$395.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.44 / $647.96 / $1,183.65	Professional		$220.44	$647.96	$1,183.65
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 $222.07 / $602.01 / $1,231.47	Professional		$222.07	$602.01	$1,231.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.07 / $1,575.83 / $1,685.13	Facility		$1,207.07	$1,575.83	$1,685.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.33 / $606.64 / $1,147.64	Professional		$232.33	$606.64	$1,147.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $616.00 / $1,402.63	Professional		$175.80	$616.00	$1,402.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,253.68 / $2,096.52 / $2,096.52	Facility		$1,253.68	$2,096.52	$2,096.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $195.33 / $293.00 / $1,202.25	Professional		$195.33	$293.00	$1,202.25
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 $671.55 / $857.15 / $1,340.64	Professional		$671.55	$857.15	$1,340.64