Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.75 / $1,996.00 / $4,473.00	Facility		$519.75	$1,996.00	$4,473.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,451.50 / $3,451.50 / $3,451.50	Facility	50	$3,451.50	$3,451.50	$3,451.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $304.77 / $883.90	Professional		$229.90	$304.77	$883.90
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 $283.39 / $363.34 / $549.54	Professional		$283.39	$363.34	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.26 / $1,618.26 / $1,618.26	Facility		$1,618.26	$1,618.26	$1,618.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $342.75 / $524.94	Professional		$211.48	$342.75	$524.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $374.96 / $1,674.04	Professional		$180.00	$374.96	$1,674.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.04 / $4,232.04 / $4,232.04	Facility		$1,674.04	$4,232.04	$4,232.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $240.57 / $245.60 / $546.91	Professional		$240.57	$245.60	$546.91
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 $293.47 / $389.09 / $590.47	Professional		$293.47	$389.09	$590.47