Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $2,240.00 / $10,300.00	Facility		$47.02	$2,240.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $69.81 / $349.00	Professional		$42.71	$69.81	$349.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.36 / $32.42 / $69.59	Professional	52	$21.36	$32.42	$69.59
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.53 / $12.97 / $27.84	Professional	53	$8.53	$12.97	$27.84
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 $50.79 / $79.04 / $113.10	Professional		$50.79	$79.04	$113.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $40.50 / $40.50	Facility		$40.50	$40.50	$40.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $70.79 / $117.66	Professional		$39.88	$70.79	$117.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $66.20 / $117.64	Professional		$35.61	$66.20	$117.64
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $222.33 / $222.33	Facility		$38.21	$222.33	$222.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $43.88 / $71.38	Professional		$39.58	$43.88	$71.38
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 $68.59 / $90.48 / $128.77	Professional		$68.59	$90.48	$128.77