Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,599.00 / $41,090.00	Facility		$1,150.00	$2,599.00	$41,090.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,276.00 / $2,276.00 / $2,276.00	Facility	50	$2,276.00	$2,276.00	$2,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $699.96 / $1,239.22	Professional		$298.95	$699.96	$1,239.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $516.03 / $1,068.65 / $1,502.03	Professional	50	$516.03	$1,068.65	$1,502.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,212.00 / $18,640.00 / $36,331.00	Facility		$13,212.00	$18,640.00	$36,331.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.72 / $571.90 / $694.05	Professional		$337.72	$571.90	$694.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $493.33 / $597.46 / $1,176.28	Professional	50	$493.33	$597.46	$1,176.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,489.83 / $5,489.83 / $5,489.83	Facility		$5,489.83	$5,489.83	$5,489.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.37 / $746.63 / $1,428.87	Professional		$315.37	$746.63	$1,428.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $628.60 / $5,252.34	Professional		$4.41	$628.60	$5,252.34
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,253.19 / $7,253.19 / $7,253.19	Facility		$7,253.19	$7,253.19	$7,253.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $400.65 / $8,008.37	Professional		$3.00	$400.65	$8,008.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $49,537.00	Facility		$2,818.00	$4,776.00	$49,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.15 / $1,098.50 / $1,711.33	Professional		$662.15	$1,098.50	$1,711.33