Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $1,496.00 / $4,396.00	Facility		$392.00	$1,496.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $122.30 / $284.16	Professional		$52.93	$122.30	$284.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.67 / $342.67 / $342.67	Professional	50	$342.67	$342.67	$342.67
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 $60.13 / $67.25 / $107.78	Professional		$60.13	$67.25	$107.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $140.84 / $161.66 / $198.09	Professional	50	$140.84	$161.66	$198.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $106.52 / $106.52	Facility		$106.52	$106.52	$106.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $130.72 / $223.56	Professional		$61.23	$130.72	$223.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $118.94 / $243.42	Professional		$1.32	$118.94	$243.42
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 / $97.97 / $258.95	Professional		$0.90	$97.97	$258.95
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 $118.33 / $168.00 / $242.76	Professional		$118.33	$168.00	$242.76