Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $4,630.00 / $7,395.00	Facility		$2,240.00	$4,630.00	$7,395.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $315.19 / $315.19 / $340.41	Facility	52	$315.19	$315.19	$340.41
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $126.08 / $126.08 / $136.16	Facility	53	$126.08	$126.08	$136.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $680.81 / $3,302.67	Professional		$530.37	$680.81	$3,302.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,224.00 / $17,593.00 / $24,862.00	Facility		$9,224.00	$17,593.00	$24,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.98 / $818.72 / $1,049.63	Professional		$629.98	$818.72	$1,049.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,173.00 / $15,557.00 / $19,418.00	Facility		$7,173.00	$15,557.00	$19,418.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.56 / $685.97 / $916.56	Professional		$505.56	$685.97	$916.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $630.78 / $9,921.04	Professional		$7.67	$630.78	$9,921.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,631.58 / $12,533.37 / $12,533.37	Facility		$7,631.58	$12,533.37	$12,533.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $544.32 / $11,447.37	Professional		$6.00	$544.32	$11,447.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,945.00 / $17,870.00 / $35,307.00	Facility		$2,945.00	$17,870.00	$35,307.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.91 / $773.99 / $1,130.82	Professional		$599.91	$773.99	$1,130.82