Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.25 / $2,173.00 / $7,186.64	Facility		$497.25	$2,173.00	$7,186.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $543.25 / $1,086.50 / $5,713.58	Facility	50	$543.25	$1,086.50	$5,713.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.61 / $328.57 / $682.24	Professional		$186.61	$328.57	$682.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $193.26 / $687.60 / $2,757.00	Professional	50	$193.26	$687.60	$2,757.00
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 Low / Median / High Price $198.20 / $247.79 / $495.33	Professional		$198.20	$247.79	$495.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $311.81 / $366.83 / $407.59	Professional	50	$311.81	$366.83	$407.59
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.50 / $367.51 / $563.26	Professional		$205.50	$367.51	$563.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $335.47 / $1,545.94	Professional		$135.86	$335.47	$1,545.94
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
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $171.48 / $437.57	Professional		$150.94	$171.48	$437.57
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
United Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $432.32 / $542.66	Professional		$290.88	$432.32	$542.66