Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.69 / $29.69 / $30.33	Facility	52	$29.69	$29.69	$30.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $60.65 / $325.79	Professional		$56.95	$60.65	$325.79
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 $68.31 / $72.56 / $130.88	Professional		$68.31	$72.56	$130.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.86 / $502.86 / $502.86	Facility		$502.86	$502.86	$502.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $98.96 / $191.82	Professional		$69.25	$98.96	$191.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $80.58 / $557.66	Professional		$3.20	$80.58	$557.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $983.93 / $983.93 / $983.93	Facility		$983.93	$983.93	$983.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $62.27 / $760.46	Professional		$2.40	$62.27	$760.46
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 $59.07 / $105.19 / $207.67	Professional		$59.07	$105.19	$207.67