Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.00 / $2,599.00 / $5,923.00	Facility		$1,777.00	$2,599.00	$5,923.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,597.50 / $6,597.50 / $9,570.93	Facility	50	$6,597.50	$6,597.50	$9,570.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.45 / $2,745.00 / $2,745.00	Professional	50	$233.45	$2,745.00	$2,745.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $441.45 / $519.35 / $577.05	Professional	50	$441.45	$519.35	$577.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,467.17 / $1,467.17	Facility		$1,467.17	$1,467.17	$1,467.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $468.86 / $1,932.43	Professional		$2.12	$468.86	$1,932.43
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.94 / $3,584.18 / $3,584.18	Facility		$1,545.94	$3,584.18	$3,584.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00