Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $5,648.85	Facility		$750.00	$1,713.00	$5,648.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,017.75 / $4,213.70 / $5,648.85	Facility	50	$1,017.75	$4,213.70	$5,648.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $414.81 / $1,156.43	Professional		$189.12	$414.81	$1,156.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.20 / $589.01 / $2,780.00	Professional	50	$315.20	$589.01	$2,780.00
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 $215.26 / $288.22 / $387.29	Professional		$215.26	$288.22	$387.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $377.23 / $416.49 / $687.32	Professional	50	$377.23	$416.49	$687.32
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 $209.94 / $409.17 / $695.19	Professional		$209.94	$409.17	$695.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $326.23 / $974.53	Professional		$3.84	$326.23	$974.53
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 $2.88 / $256.58 / $1,485.89	Professional		$2.88	$256.58	$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 $370.14 / $554.05 / $956.62	Professional		$370.14	$554.05	$956.62