Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $3,363.50 / $6,953.00	Facility		$1,350.00	$3,363.50	$6,953.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,203.50 / $4,399.00 / $6,953.00	Facility	50	$3,203.50	$4,399.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.03 / $292.70 / $738.50	Professional		$251.03	$292.70	$738.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.32 / $603.65 / $1,849.31	Professional	50	$171.32	$603.65	$1,849.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,078.00 / $7,046.00 / $13,100.00	Facility		$5,078.00	$7,046.00	$13,100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.63 / $395.84 / $664.27	Professional		$270.63	$395.84	$664.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $485.05 / $570.65 / $634.05	Professional	50	$485.05	$570.65	$634.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,552.35 / $2,552.35 / $2,552.35	Facility		$2,552.35	$2,552.35	$2,552.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $369.92 / $654.08	Professional		$231.18	$369.92	$654.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $411.81 / $2,559.36	Professional		$182.21	$411.81	$2,559.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,559.36 / $7,650.58 / $7,650.58	Facility		$2,559.36	$7,650.58	$7,650.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $202.45 / $232.40 / $650.22	Professional		$202.45	$232.40	$650.22
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 $275.74 / $431.64 / $731.37	Professional		$275.74	$431.64	$731.37