Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.25 / $2,173.00 / $4,730.00	Facility		$440.25	$2,173.00	$4,730.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,568.34 / $5,568.34 / $5,568.34	Facility	50	$5,568.34	$5,568.34	$5,568.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $268.99 / $827.23	Professional		$166.90	$268.99	$827.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $414.09 / $1,243.51 / $1,458.00	Professional	50	$414.09	$1,243.51	$1,458.00
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 $177.39 / $271.25 / $438.17	Professional		$177.39	$271.25	$438.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $237.81 / $279.77 / $310.87	Professional	50	$237.81	$279.77	$310.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.45 / $833.45 / $833.45	Facility		$833.45	$833.45	$833.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.24 / $272.69 / $403.48	Professional		$153.24	$272.69	$403.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $264.64 / $881.06	Professional		$129.44	$264.64	$881.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $881.06 / $1,905.85 / $1,905.85	Facility		$881.06	$1,905.85	$1,905.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $154.27 / $396.96	Professional		$136.26	$154.27	$396.96
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.56 / $353.17 / $477.84	Professional		$259.56	$353.17	$477.84