Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.34 / $2,472.00 / $5,923.00	Facility		$563.34	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.57 / $589.75 / $1,048.49	Professional		$372.57	$589.75	$1,048.49
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 $373.84 / $604.49 / $956.56	Professional		$373.84	$604.49	$956.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $709.24 / $834.40 / $927.12	Professional	50	$709.24	$834.40	$927.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.38 / $245.38 / $245.38	Facility		$245.38	$245.38	$245.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.96 / $631.10 / $930.65	Professional		$445.96	$631.10	$930.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $509.17 / $858.19	Professional		$190.00	$509.17	$858.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $263.93 / $3,478.55 / $3,478.55	Facility		$263.93	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $294.02 / $395.90 / $464.70	Professional		$294.02	$395.90	$464.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.70 / $709.80 / $982.18	Professional		$518.70	$709.80	$982.18