Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.60 / $2,523.00 / $5,954.85	Facility		$1,584.60	$2,523.00	$5,954.85
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $153.08 / $153.08 / $189.01	Facility	52	$153.08	$153.08	$189.01
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.23 / $61.23 / $75.59	Facility	53	$61.23	$61.23	$75.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.16 / $341.52 / $1,496.00	Professional		$306.16	$341.52	$1,496.00
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 $291.64 / $352.79 / $507.72	Professional		$291.64	$352.79	$507.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,741.63 / $1,741.63 / $1,741.63	Facility		$1,741.63	$1,741.63	$1,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.92 / $349.99 / $531.42	Professional		$261.92	$349.99	$531.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $354.55 / $2,248.98	Professional		$7.76	$354.55	$2,248.98
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.18 / $3,811.73 / $3,811.73	Facility		$1,799.18	$3,811.73	$3,811.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $287.20 / $2,698.77	Professional		$5.28	$287.20	$2,698.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.85 / $391.95 / $531.29	Professional		$304.85	$391.95	$531.29