Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,133.10 / $9,460.50 / $42,038.00	Facility		$4,133.10	$9,460.50	$42,038.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $239.24 / $239.24 / $272.74	Facility	53	$239.24	$239.24	$272.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.83 / $1,196.21 / $4,844.00	Professional		$941.83	$1,196.21	$4,844.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,479.00 / $10,250.00 / $18,462.00	Facility		$8,479.00	$10,250.00	$18,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.52 / $1,432.94 / $1,915.41	Professional		$1,245.52	$1,432.94	$1,915.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,849.00 / $16,889.00 / $33,345.00	Facility		$13,849.00	$16,889.00	$33,345.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.01 / $1,199.17 / $1,740.94	Professional		$919.01	$1,199.17	$1,740.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $1,098.92 / $27,496.34	Professional		$10.29	$1,098.92	$27,496.34
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $21,151.03 / $27,112.61 / $27,112.61	Facility		$21,151.03	$27,112.61	$27,112.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $877.42 / $31,726.55	Professional		$8.05	$877.42	$31,726.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,900.00 / $19,017.00 / $45,300.00	Facility		$4,900.00	$19,017.00	$45,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.70 / $1,468.10 / $2,055.33	Professional		$1,141.70	$1,468.10	$2,055.33