Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.64 / $2,556.00 / $10,300.00	Facility		$482.64	$2,556.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $482.64 / $1,109.98	Professional		$303.87	$482.64	$1,109.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $150.49 / $239.02 / $698.75	Professional	52	$150.49	$239.02	$698.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $519.11 / $783.56	Professional		$305.27	$519.11	$783.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $606.82 / $713.90 / $793.23	Professional	50	$606.82	$713.90	$793.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.49 / $218.49 / $218.49	Facility		$218.49	$218.49	$218.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.45 / $515.24 / $770.87	Professional		$366.45	$515.24	$770.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $413.84 / $721.63	Professional		$190.00	$413.84	$721.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $232.74 / $3,478.55 / $3,478.55	Facility		$232.74	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $239.47 / $349.11 / $392.14	Professional		$239.47	$349.11	$392.14
United Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $3,000.00 / $6,295.00	Facility		$264.48	$3,000.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.65 / $556.26 / $840.36	Professional		$438.65	$556.26	$840.36