Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.12 / $1,706.00 / $4,473.00	Facility		$146.12	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $122.70 / $249.30	Professional		$64.40	$122.70	$249.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
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 $59.00 / $71.59 / $125.70	Professional		$59.00	$71.59	$125.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.32 / $151.06 / $198.31	Professional	50	$98.32	$151.06	$198.31
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 $74.79 / $131.72 / $238.41	Professional		$74.79	$131.72	$238.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $124.60 / $498.75	Professional		$1.14	$124.60	$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 $0.78 / $103.83 / $760.46	Professional		$0.78	$103.83	$760.46
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,709.00 / $4,661.00	Facility		$408.00	$1,709.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $173.73 / $248.85	Professional		$122.45	$173.73	$248.85