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 / $11,835.00	Facility		$911.00	$1,713.00	$11,835.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $750.00 / $750.00 / $4,602.96	Facility	50	$750.00	$750.00	$4,602.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.44 / $523.29 / $1,918.00	Professional		$485.44	$523.29	$1,918.00
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 $517.46 / $628.17 / $950.54	Professional		$517.46	$628.17	$950.54
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 $365.60 / $566.55 / $878.75	Professional		$365.60	$566.55	$878.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $606.95 / $2,092.55	Professional		$3.97	$606.95	$2,092.55
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 $2.70 / $539.49 / $2,511.06	Professional		$2.70	$539.49	$2,511.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.31 / $584.04 / $931.03	Professional		$435.31	$584.04	$931.03