Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.12 / $1,639.00 / $4,396.00	Facility		$261.12	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $187.41 / $720.06	Professional		$76.48	$187.41	$720.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.99 / $55.99 / $473.83	Professional	50	$55.99	$55.99	$473.83
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 $80.08 / $91.52 / $165.07	Professional		$80.08	$91.52	$165.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $339.32 / $399.20 / $443.56	Professional	50	$339.32	$399.20	$443.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.41 / $73.41 / $73.41	Facility		$73.41	$73.41	$73.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $168.90 / $342.00	Professional		$67.22	$168.90	$342.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $119.46 / $418.46	Professional		$62.18	$119.46	$418.46
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $76.79 / $142.46 / $142.46	Facility		$76.79	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $73.68 / $232.18	Professional		$68.26	$73.68	$232.18
United Facility/Professional Facility Modifier Low / Median / High Price $69.38 / $1,277.00 / $1,998.00	Facility		$69.38	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.66 / $255.84 / $408.87	Professional		$178.66	$255.84	$408.87