Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.83 / $1,496.00 / $4,396.00	Facility		$243.83	$1,496.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $97.58 / $192.55	Professional		$50.33	$97.58	$192.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $830.88 / $927.00	Professional	50	$54.53	$830.88	$927.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $58.02 / $87.91	Professional		$50.62	$58.02	$87.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.90 / $107.71 / $186.79	Professional	50	$102.90	$107.71	$186.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.03 / $82.03 / $82.03	Facility		$82.03	$82.03	$82.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $112.75 / $190.00	Professional		$56.72	$112.75	$190.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $94.99 / $190.91	Professional		$2.21	$94.99	$190.91
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $69.41 / $181.25	Professional		$1.50	$69.41	$181.25
United Facility/Professional Facility Modifier Low / Median / High Price $82.18 / $1,055.00 / $1,975.00	Facility		$82.18	$1,055.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $133.53 / $201.96	Professional		$99.43	$133.53	$201.96