Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.75 / $2,173.00 / $4,730.00	Facility		$1,095.75	$2,173.00	$4,730.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,150.50 / $1,516.50 / $2,420.50	Facility	50	$1,150.50	$1,516.50	$2,420.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $165.86 / $400.90	Professional		$137.16	$165.86	$400.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.63 / $943.50 / $1,054.50	Professional	50	$87.63	$943.50	$1,054.50
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 $154.81 / $187.26 / $269.51	Professional		$154.81	$187.26	$269.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $195.09 / $229.52 / $255.03	Professional	50	$195.09	$229.52	$255.03
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 $136.35 / $181.66 / $274.76	Professional		$136.35	$181.66	$274.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $190.00 / $1,101.33	Professional		$3.79	$190.00	$1,101.33
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 $2.58 / $152.97 / $1,321.59	Professional		$2.58	$152.97	$1,321.59
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 $153.69 / $191.37 / $282.77	Professional		$153.69	$191.37	$282.77