Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $2,472.00 / $10,300.00	Facility		$1,944.00	$2,472.00	$10,300.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,549.00 / $3,549.00 / $3,975.00	Facility	50	$3,549.00	$3,549.00	$3,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.10 / $452.03 / $1,864.17	Professional		$355.10	$452.03	$1,864.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.43 / $566.84 / $843.42	Professional		$418.43	$566.84	$843.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.26 / $1,618.26 / $1,618.26	Facility		$1,618.26	$1,618.26	$1,618.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.56 / $508.52 / $807.39	Professional		$340.56	$508.52	$807.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $599.85 / $1,674.04	Professional		$350.00	$599.85	$1,674.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.04 / $4,232.04 / $4,232.04	Facility		$1,674.04	$4,232.04	$4,232.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $399.90 / $405.37 / $848.10	Professional		$399.90	$405.37	$848.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,625.00 / $7,138.00	Facility		$1,282.00	$2,625.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.62 / $566.28 / $885.70	Professional		$403.62	$566.28	$885.70