Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $4,396.00	Facility		$750.00	$1,713.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $108.46 / $292.08	Professional		$53.11	$108.46	$292.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.82 / $715.80 / $737.28	Professional	50	$204.82	$715.80	$737.28
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 $61.66 / $73.23 / $97.96	Professional		$61.66	$73.23	$97.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $106.55 / $137.83 / $194.77	Professional	50	$106.55	$137.83	$194.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $74.20 / $74.20	Facility		$74.20	$74.20	$74.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $124.86 / $198.26	Professional		$68.00	$124.86	$198.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $98.32 / $187.51	Professional		$1.32	$98.32	$187.51
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 / $73.92 / $180.74	Professional		$0.90	$73.92	$180.74
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 $106.08 / $133.97 / $210.55	Professional		$106.08	$133.97	$210.55