Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $1,706.00 / $4,473.00	Facility		$81.61	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $81.61 / $357.98	Professional		$43.85	$81.61	$357.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $646.98 / $646.98	Professional	50	$126.14	$646.98	$646.98
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 $50.56 / $76.98 / $99.73	Professional		$50.56	$76.98	$99.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $88.35 / $166.23 / $171.64	Professional	50	$88.35	$166.23	$171.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.09 / $53.09 / $53.09	Facility		$53.09	$53.09	$53.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $103.09 / $177.68	Professional		$54.39	$103.09	$177.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $68.53 / $133.83	Professional		$1.06	$68.53	$133.83
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 $0.72 / $57.21 / $118.91	Professional		$0.72	$57.21	$118.91
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $113.40 / $162.05	Professional		$66.98	$113.40	$162.05