Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,396.00	Facility		$750.00	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $803.35 / $1,126.58	Professional		$163.36	$803.35	$1,126.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $876.25 / $1,144.56 / $1,287.27	Professional	50	$876.25	$1,144.56	$1,287.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $859.95 / $1,432.01	Professional		$203.78	$859.95	$1,432.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.43 / $1,460.51 / $1,622.79	Professional	50	$1,241.43	$1,460.51	$1,622.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $328.75 / $1,352.11	Professional		$150.47	$328.75	$1,352.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $262.85 / $1,273.24	Professional		$5.25	$262.85	$1,273.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $150.19 / $1,208.78	Professional		$2.70	$150.19	$1,208.78
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $806.96 / $1,042.84 / $1,528.63	Professional		$806.96	$1,042.84	$1,528.63