Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.30 / $1,639.00 / $5,760.45	Facility		$636.30	$1,639.00	$5,760.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,413.00 / $2,458.50 / $12,443.86	Facility	50	$1,413.00	$2,458.50	$12,443.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $504.38 / $1,042.89	Professional		$100.46	$504.38	$1,042.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $444.23 / $1,013.93	Professional		$109.54	$444.23	$1,013.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $566.39 / $666.34 / $740.38	Professional	50	$566.39	$666.34	$740.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.94 / $1,009.94 / $1,009.94	Facility		$1,009.94	$1,009.94	$1,009.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $384.79 / $840.25	Professional		$83.33	$384.79	$840.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $450.73 / $1,046.24	Professional		$80.20	$450.73	$1,046.24
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.24 / $2,263.96 / $2,263.96	Facility		$1,046.24	$2,263.96	$2,263.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $94.19 / $844.79	Professional		$86.75	$94.19	$844.79
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.04 / $636.17 / $977.81	Professional		$482.04	$636.17	$977.81