Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.18 / $1,508.00 / $4,396.00	Facility		$244.18	$1,508.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.66 / $19.66 / $122.09	Facility	52	$19.66	$19.66	$122.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $197.98 / $322.92	Professional		$34.85	$197.98	$322.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $162.50 / $405.24	Professional		$36.15	$162.50	$405.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.52 / $179.53 / $191.98	Facility		$137.52	$179.53	$191.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $195.14 / $357.14	Professional		$37.47	$195.14	$357.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $158.27 / $380.74	Professional		$30.21	$158.27	$380.74
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $268.79 / $268.79	Facility		$143.88	$268.79	$268.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $50.36 / $215.82	Professional		$33.57	$50.36	$215.82
United Facility/Professional Facility Modifier Low / Median / High Price $140.78 / $1,055.00 / $1,975.00	Facility		$140.78	$1,055.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.40 / $264.45 / $415.93	Professional		$206.40	$264.45	$415.93