Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.09 / $1,713.00 / $4,473.00	Facility		$230.09	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $174.88 / $427.09	Professional		$72.40	$174.88	$427.09
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 $66.48 / $80.67 / $143.16	Professional		$66.48	$80.67	$143.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.68 / $166.80 / $282.69	Professional	50	$107.68	$166.80	$282.69
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 $79.90 / $165.77 / $371.00	Professional		$79.90	$165.77	$371.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $153.19 / $498.75	Professional		$1.32	$153.19	$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 $0.90 / $114.27 / $760.46	Professional		$0.90	$114.27	$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 $179.98 / $244.02 / $389.89	Professional		$179.98	$244.02	$389.89