Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $2,472.00 / $4,730.00	Facility		$618.00	$2,472.00	$4,730.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $618.00 / $1,236.00 / $3,770.25	Facility	50	$618.00	$1,236.00	$3,770.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $292.33 / $885.82	Professional		$270.74	$292.33	$885.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $202.35 / $690.08 / $2,163.13	Professional	50	$202.35	$690.08	$2,163.13
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 $259.35 / $340.02 / $458.83	Professional		$259.35	$340.02	$458.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $327.00 / $384.70 / $427.45	Professional	50	$327.00	$384.70	$427.45
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 $268.35 / $335.00 / $501.14	Professional		$268.35	$335.00	$501.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $347.91 / $3,199.20	Professional		$7.94	$347.91	$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 $5.40 / $253.13 / $3,839.04	Professional		$5.40	$253.13	$3,839.04
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 $266.35 / $371.29 / $745.19	Professional		$266.35	$371.29	$745.19