Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $911.00 / $4,396.00	Facility		$392.00	$911.00	$4,396.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,180.00 / $3,180.00 / $3,180.00	Facility	50	$3,180.00	$3,180.00	$3,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $110.26 / $288.08	Professional		$60.43	$110.26	$288.08
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 $62.17 / $70.47 / $106.64	Professional		$62.17	$70.47	$106.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $126.36 / $134.68 / $149.65	Professional	50	$126.36	$134.68	$149.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.86 / $502.86 / $502.86	Facility		$502.86	$502.86	$502.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $113.48 / $199.75	Professional		$64.79	$113.48	$199.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $120.43 / $493.00	Professional		$1.32	$120.43	$493.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $983.93 / $983.93 / $983.93	Facility		$983.93	$983.93	$983.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $98.72 / $760.46	Professional		$0.90	$98.72	$760.46
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 $106.91 / $159.16 / $218.96	Professional		$106.91	$159.16	$218.96