Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,396.00	Facility		$750.00	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.90 / $1,047.90 / $1,551.30	Facility	50	$1,047.90	$1,047.90	$1,551.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $161.57 / $467.21	Professional		$64.23	$161.57	$467.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.88 / $305.89 / $717.17	Professional	50	$140.88	$305.89	$717.17
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 $82.68 / $92.31 / $143.66	Professional		$82.68	$92.31	$143.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $153.52 / $162.35 / $181.98	Professional	50	$153.52	$162.35	$181.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $169.55 / $388.24	Professional		$86.05	$169.55	$388.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $126.39 / $270.00	Professional		$2.40	$126.39	$270.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $109.59 / $262.55	Professional		$1.80	$109.59	$262.55
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $216.03 / $405.11	Professional		$152.88	$216.03	$405.11