Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $1,639.00 / $4,473.00	Facility		$135.94	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $141.87 / $613.49	Professional		$117.87	$141.87	$613.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.04 / $829.50 / $1,179.00	Professional	50	$220.04	$829.50	$1,179.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $177.56 / $237.52	Professional		$131.90	$177.56	$237.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.82 / $220.80 / $245.34	Professional	50	$165.82	$220.80	$245.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $83.38 / $83.38	Facility		$83.38	$83.38	$83.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $182.51 / $258.47	Professional		$128.49	$182.51	$258.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $138.65 / $216.00	Professional		$2.12	$138.65	$216.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $132.77 / $210.14	Professional		$1.44	$132.77	$210.14
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $176.47 / $253.91	Professional		$126.06	$176.47	$253.91