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 $114.69 / $240.41 / $736.58	Professional		$114.69	$240.41	$736.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $252.54 / $1,332.00	Professional	50	$171.84	$252.54	$1,332.00
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 $107.68 / $130.66 / $222.56	Professional		$107.68	$130.66	$222.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $175.02 / $255.59 / $334.89	Professional	50	$175.02	$255.59	$334.89
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 $135.96 / $242.55 / $447.87	Professional		$135.96	$242.55	$447.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $218.28 / $520.32	Professional		$2.21	$218.28	$520.32
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 $1.50 / $173.24 / $760.46	Professional		$1.50	$173.24	$760.46
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.23 / $306.14 / $481.14	Professional		$226.23	$306.14	$481.14