Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.32 / $1,706.00 / $4,473.00	Facility		$162.32	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $158.90 / $566.87	Professional		$105.15	$158.90	$566.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $273.74 / $273.74 / $273.74	Professional	50	$273.74	$273.74	$273.74
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 $110.84 / $127.81 / $193.30	Professional		$110.84	$127.81	$193.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.44 / $213.70 / $247.53	Professional	50	$154.44	$213.70	$247.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $90.53 / $90.53	Facility		$90.53	$90.53	$90.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $175.25 / $268.89	Professional		$113.07	$175.25	$268.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $131.96 / $249.06	Professional		$2.08	$131.96	$249.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $135.63 / $236.45	Professional		$1.56	$135.63	$236.45
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 $153.47 / $223.76 / $317.20	Professional		$153.47	$223.76	$317.20