Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.18 / $1,639.00 / $4,396.00	Facility		$234.18	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $81.16 / $364.00	Professional		$31.70	$81.16	$364.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.85 / $35.54 / $71.23	Professional	52	$15.85	$35.54	$71.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $75.02 / $118.10	Professional		$34.11	$75.02	$118.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $54.45 / $54.45	Facility		$54.45	$54.45	$54.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $70.72 / $120.67	Professional		$36.29	$70.72	$120.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $64.77 / $131.38	Professional		$23.10	$64.77	$131.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $268.79 / $268.79	Facility		$58.88	$268.79	$268.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $28.44 / $88.32	Professional		$25.67	$28.44	$88.32
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $104.41 / $142.80	Professional		$77.04	$104.41	$142.80