Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.75 / $1,568.00 / $4,396.00	Facility		$409.75	$1,568.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.11 / $50.76 / $154.61	Facility	52	$41.11	$50.76	$154.61
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.44 / $20.30 / $61.84	Facility	53	$16.44	$20.30	$61.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $239.89 / $956.16	Professional		$82.22	$239.89	$956.16
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $41.11 / $103.14 / $206.95	Professional	52	$41.11	$103.14	$206.95
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $16.44 / $41.26 / $82.78	Professional	53	$16.44	$41.26	$82.78
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 $89.07 / $211.45 / $364.03	Professional		$89.07	$211.45	$364.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.41 / $332.41 / $332.41	Facility		$332.41	$332.41	$332.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $173.02 / $370.54	Professional		$105.32	$173.02	$370.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $200.58 / $375.92	Professional		$66.54	$200.58	$375.92
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $324.36 / $737.67 / $737.67	Facility		$324.36	$737.67	$737.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $76.40 / $322.22	Professional		$70.04	$76.40	$322.22
United Facility/Professional Facility Modifier Low / Median / High Price $323.79 / $1,522.00 / $4,661.00	Facility		$323.79	$1,522.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.48 / $264.33 / $377.38	Professional		$206.48	$264.33	$377.38