Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.10 / $1,639.00 / $4,473.00	Facility		$656.10	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $85.85 / $158.66	Professional		$54.64	$85.85	$158.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $326.91 / $326.91 / $326.91	Professional	50	$326.91	$326.91	$326.91
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 $57.42 / $63.73 / $95.63	Professional		$57.42	$63.73	$95.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.78 / $108.70 / $153.51	Professional	50	$82.78	$108.70	$153.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $45.95 / $45.95	Facility		$45.95	$45.95	$45.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $106.99 / $188.54	Professional		$61.29	$106.99	$188.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $80.36 / $159.40	Professional		$1.32	$80.36	$159.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $71.23 / $133.94	Professional		$0.90	$71.23	$133.94
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 $80.52 / $136.87 / $211.71	Professional		$80.52	$136.87	$211.71