Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,906.00 / $7,585.00	Facility		$1,862.00	$3,906.00	$7,585.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,410.00 / $9,410.00 / $15,340.20	Facility	50	$9,410.00	$9,410.00	$15,340.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.87 / $367.08 / $601.24	Professional		$340.87	$367.08	$601.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $703.10 / $2,529.86 / $2,795.80	Professional	50	$703.10	$2,529.86	$2,795.80
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 $317.27 / $428.97 / $578.86	Professional		$317.27	$428.97	$578.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $401.02 / $471.79 / $524.22	Professional	50	$401.02	$471.79	$524.22
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 $338.33 / $423.91 / $613.57	Professional		$338.33	$423.91	$613.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $424.55 / $3,199.20	Professional		$9.26	$424.55	$3,199.20
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 $6.30 / $308.33 / $3,839.04	Professional		$6.30	$308.33	$3,839.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,644.00 / $9,042.00	Facility		$1,642.00	$3,644.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.16 / $466.17 / $617.00	Professional		$335.16	$466.17	$617.00