Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.15 / $3,042.00 / $6,953.00	Facility		$475.15	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $459.67 / $1,026.98	Professional		$172.52	$459.67	$1,026.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	50	$482.32	$482.32	$482.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.09 / $225.07 / $441.06	Professional		$219.09	$225.07	$441.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $641.23 / $754.39 / $838.21	Professional	50	$641.23	$754.39	$838.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.17 / $973.17 / $973.17	Facility		$973.17	$973.17	$973.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.04 / $403.53 / $805.20	Professional		$216.04	$403.53	$805.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $469.81 / $1,089.65	Professional		$190.00	$469.81	$1,089.65
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.16 / $2,158.16 / $2,158.16	Facility		$2,158.16	$2,158.16	$2,158.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $189.18 / $449.89 / $1,485.89	Professional		$189.18	$449.89	$1,485.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.44 / $669.81 / $961.53	Professional		$468.44	$669.81	$961.53