Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $1,706.00 / $4,473.00	Facility		$194.00	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.42 / $16.77 / $38.79	Facility	53	$16.42	$16.77	$38.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $194.00 / $809.00	Professional		$76.23	$194.00	$809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $107.90 / $166.95	Professional		$82.56	$107.90	$166.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $169.26 / $354.20	Professional		$88.78	$169.26	$354.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $119.77 / $274.79	Professional		$63.85	$119.77	$274.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $106.41 / $269.39	Professional		$1.80	$106.41	$269.39
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 $194.17 / $276.64 / $416.30	Professional		$194.17	$276.64	$416.30