Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.03 / $3,959.00 / $10,300.00	Facility		$88.03	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $122.01 / $198.73	Professional		$86.40	$122.01	$198.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $221.07 / $221.07 / $221.07	Professional	50	$221.07	$221.07	$221.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $123.69 / $184.37	Professional		$86.54	$123.69	$184.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.35 / $191.01 / $212.23	Professional	50	$162.35	$191.01	$212.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $68.06 / $68.06	Facility		$68.06	$68.06	$68.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $123.39 / $189.67	Professional		$70.72	$123.39	$189.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $119.06 / $209.30	Professional		$27.00	$119.06	$209.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $777.59 / $777.59	Facility		$77.45	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $81.30 / $116.19	Professional		$76.18	$81.30	$116.19
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 $118.65 / $157.74 / $213.56	Professional		$118.65	$157.74	$213.56