Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.50 / $2,499.00 / $10,300.00	Facility		$591.50	$2,499.00	$10,300.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.65 / $1,132.00 / $1,183.00	Facility	52	$119.65	$1,132.00	$1,183.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $43.46 / $47.86 / $283.70	Facility	53	$43.46	$47.86	$283.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $385.61 / $1,633.00	Professional		$234.72	$385.61	$1,633.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $43.46 / $240.05 / $283.70	Professional	53	$43.46	$240.05	$283.70
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 $257.74 / $398.22 / $2,095.12	Professional		$257.74	$398.22	$2,095.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.57 / $1,761.57 / $1,761.57	Facility		$1,761.57	$1,761.57	$1,761.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.92 / $355.51 / $1,840.13	Professional		$225.92	$355.51	$1,840.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $403.58 / $2,219.00	Professional		$190.00	$403.58	$2,219.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,814.89 / $3,513.95 / $3,513.95	Facility		$1,814.89	$3,513.95	$3,513.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.44 / $220.90 / $1,902.00	Professional		$200.44	$220.90	$1,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,138.00	Facility		$1,282.00	$2,947.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.92 / $1,465.58 / $2,495.44	Professional		$275.92	$1,465.58	$2,495.44