Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.04 / $1,639.00 / $4,396.00	Facility		$535.04	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.10 / $61.10 / $267.52	Facility	52	$61.10	$61.10	$267.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $176.10 / $618.12	Professional		$117.63	$176.10	$618.12
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 $130.38 / $242.90 / $833.82	Professional		$130.38	$242.90	$833.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.97 / $869.42 / $929.73	Facility		$665.97	$869.42	$929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.52 / $216.27 / $802.56	Professional		$129.52	$216.27	$802.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $200.00 / $891.51	Professional		$68.05	$200.00	$891.51
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $685.78 / $1,303.09 / $1,303.09	Facility		$685.78	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $157.04 / $815.52	Professional		$104.69	$157.04	$815.52
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $488.66 / $841.68	Professional		$158.43	$488.66	$841.68