Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.50 / $2,100.00 / $4,730.00	Facility		$1,039.50	$2,100.00	$4,730.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.64 / $126.73 / $589.42	Facility	52	$102.64	$126.73	$589.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.06 / $50.69 / $235.77	Facility	53	$41.06	$50.69	$235.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $835.04 / $1,178.85	Professional		$205.28	$835.04	$1,178.85
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 $224.01 / $760.81 / $1,580.17	Professional		$224.01	$760.81	$1,580.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.94 / $1,009.94 / $1,009.94	Facility		$1,009.94	$1,009.94	$1,009.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.42 / $687.33 / $1,327.17	Professional		$179.42	$687.33	$1,327.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $166.56 / $776.47 / $1,509.80	Professional		$166.56	$776.47	$1,509.80
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.24 / $2,263.96 / $2,263.96	Facility		$1,046.24	$2,263.96	$2,263.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $175.33 / $192.38 / $1,294.10	Professional		$175.33	$192.38	$1,294.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $1,102.74 / $1,676.73	Professional		$885.50	$1,102.74	$1,676.73