Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.48 / $975.00 / $3,605.00	Facility		$227.48	$975.00	$3,605.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $13.18 / $16.27 / $39.29	Facility	52	$13.18	$16.27	$39.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $67.08 / $295.00	Professional		$26.35	$67.08	$295.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.18 / $28.99 / $66.98	Professional	52	$13.18	$28.99	$66.98
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 $28.42 / $60.60 / $104.80	Professional		$28.42	$60.60	$104.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $61.96 / $116.92	Professional		$25.09	$61.96	$116.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $39.08 / $113.96	Professional		$0.35	$39.08	$113.96
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $23.68 / $59.59	Professional		$22.33	$23.68	$59.59
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 $62.64 / $98.82 / $124.10	Professional		$62.64	$98.82	$124.10