Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $1,713.00 / $4,473.00	Facility		$134.94	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $121.32 / $352.16	Professional		$59.04	$121.32	$352.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $625.00	Professional	50	$144.25	$144.25	$625.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $76.62 / $103.74	Professional		$67.84	$76.62	$103.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.93 / $119.06 / $161.86	Professional	50	$114.93	$119.06	$161.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $129.87 / $241.48	Professional		$63.92	$129.87	$241.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $88.64 / $205.60	Professional		$0.96	$88.64	$205.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $78.75 / $214.17	Professional		$0.72	$78.75	$214.17
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.52 / $166.46 / $237.91	Professional		$115.52	$166.46	$237.91