Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.70 / $1,639.00 / $4,473.00	Facility		$229.70	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $195.57 / $394.91	Professional		$74.51	$195.57	$394.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $298.08 / $311.97	Professional	50	$220.42	$298.08	$311.97
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 $81.01 / $96.67 / $152.83	Professional		$81.01	$96.67	$152.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.89 / $159.75 / $364.74	Professional	50	$112.89	$159.75	$364.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $391.14 / $391.14	Facility		$391.14	$391.14	$391.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $184.61 / $362.68	Professional		$82.44	$184.61	$362.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $71.72 / $231.70 / $445.05	Professional		$71.72	$231.70	$445.05
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 $71.72 / $216.61 / $606.89	Professional		$71.72	$216.61	$606.89
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 $191.68 / $272.42 / $377.39	Professional		$191.68	$272.42	$377.39