Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $297.02 / $389.66	Facility		$81.03	$297.02	$389.66
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $235.81 / $389.43 / $417.30	Facility	50	$235.81	$389.43	$417.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $83.84 / $148.35	Professional		$25.51	$83.84	$148.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $137.72 / $237.85	Professional	50	$43.08	$137.72	$237.85
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 $27.86 / $31.64 / $48.78	Professional		$27.86	$31.64	$48.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.79 / $51.65 / $137.71	Professional	50	$41.79	$51.65	$137.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $68.06 / $68.06	Facility		$68.06	$68.06	$68.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $73.42 / $138.60	Professional		$22.57	$73.42	$138.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $50.70 / $120.25	Professional		$0.80	$50.70	$120.25
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 $0.60 / $34.49 / $125.27	Professional		$0.60	$34.49	$125.27
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 $75.25 / $103.59 / $165.09	Professional		$75.25	$103.59	$165.09