Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $2,599.00 / $9,092.00	Facility		$2,240.00	$2,599.00	$9,092.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $1,574.93 / $5,974.48	Professional		$296.93	$1,574.93	$5,974.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,253.28 / $2,253.28 / $2,253.28	Professional	50	$2,253.28	$2,253.28	$2,253.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,526.00 / $9,098.00 / $20,080.00	Facility		$7,526.00	$9,098.00	$20,080.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $3,579.99 / $5,961.46	Professional		$359.63	$3,579.99	$5,961.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $4,791.46 / $5,637.01 / $6,263.35	Professional	50	$4,791.46	$5,637.01	$6,263.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,472.62 / $7,472.62 / $7,472.62	Facility		$7,472.62	$7,472.62	$7,472.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.08 / $3,361.80 / $5,418.05	Professional		$267.08	$3,361.80	$5,418.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $3,109.75 / $7,895.76	Professional		$190.00	$3,109.75	$7,895.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.76 / $12,533.37 / $12,533.37	Facility		$7,895.76	$12,533.37	$12,533.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $396.00 / $4,910.13	Professional		$264.00	$396.00	$4,910.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,163.00 / $6,619.00 / $21,228.00	Facility		$3,163.00	$6,619.00	$21,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,251.89 / $4,985.99 / $6,375.17	Professional		$3,251.89	$4,985.99	$6,375.17