Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.54 / $1,639.00 / $4,473.00	Facility		$612.54	$1,639.00	$4,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.52 / $31.17 / $63.23	Facility	52	$30.52	$31.17	$63.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $126.45 / $708.00	Professional		$62.34	$126.45	$708.00
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 $69.70 / $81.45 / $159.00	Professional		$69.70	$81.45	$159.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $391.14 / $391.14	Facility		$391.14	$391.14	$391.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $133.11 / $230.54	Professional		$65.62	$133.11	$230.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $137.44 / $404.59	Professional		$1.76	$137.44	$404.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $85.77 / $606.89	Professional		$1.20	$85.77	$606.89
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.53 / $181.01 / $254.24	Professional		$131.53	$181.01	$254.24