Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $407.61 / $407.61	Facility		$28.41	$407.61	$407.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $48.61 / $141.43	Professional		$25.85	$48.61	$141.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.68 / $355.50 / $355.50	Professional	50	$73.68	$355.50	$355.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $35.78 / $57.44	Professional		$29.94	$35.78	$57.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.61 / $51.51 / $90.55	Professional	50	$39.61	$51.51	$90.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $43.56 / $43.56	Facility		$43.56	$43.56	$43.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $57.00 / $97.26	Professional		$30.41	$57.00	$97.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $43.45 / $90.50	Professional		$0.44	$43.45	$90.50
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.39 / $174.39 / $174.39	Facility		$174.39	$174.39	$174.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $34.49 / $94.17	Professional		$0.30	$34.49	$94.17
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 $43.45 / $64.50 / $97.78	Professional		$43.45	$64.50	$97.78