Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,810.00 / $2,240.00 / $10,300.00	Facility		$1,810.00	$2,240.00	$10,300.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $80.34 / $82.08 / $467.45	Facility	53	$80.34	$82.08	$467.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.81 / $631.82 / $2,988.97	Professional		$365.81	$631.82	$2,988.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,212.00 / $18,640.00 / $36,331.00	Facility		$13,212.00	$18,640.00	$36,331.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.15 / $552.41 / $718.83	Professional		$466.15	$552.41	$718.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,349.39 / $5,349.39 / $5,349.39	Facility		$5,349.39	$5,349.39	$5,349.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.30 / $647.99 / $3,690.39	Professional		$353.30	$647.99	$3,690.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $626.60 / $5,253.32	Professional		$8.32	$626.60	$5,253.32
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,253.19 / $7,253.19 / $7,253.19	Facility		$7,253.19	$7,253.19	$7,253.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $556.71 / $7,879.98	Professional		$6.24	$556.71	$7,879.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,371.00 / $4,776.00 / $49,537.00	Facility		$2,371.00	$4,776.00	$49,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,167.72 / $1,896.30 / $3,547.10	Professional		$1,167.72	$1,896.30	$3,547.10