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 / $4,622.58	Facility		$750.00	$1,713.00	$4,622.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,508.83 / $2,501.27 / $5,568.36	Facility	50	$1,508.83	$2,501.27	$5,568.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $159.12 / $463.51	Professional		$82.95	$159.12	$463.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.65 / $293.08 / $803.55	Professional	50	$73.65	$293.08	$803.55
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 $81.92 / $99.41 / $152.43	Professional		$81.92	$99.41	$152.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $164.26 / $177.43 / $244.18	Professional	50	$164.26	$177.43	$244.18
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 $93.64 / $165.80 / $273.91	Professional		$93.64	$165.80	$273.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $153.47 / $498.75	Professional		$2.40	$153.47	$498.75
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 $1.80 / $121.11 / $760.46	Professional		$1.80	$121.11	$760.46
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 $162.69 / $250.14 / $362.66	Professional		$162.69	$250.14	$362.66