Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.90 / $1,713.00 / $4,730.00	Facility		$246.90	$1,713.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $195.33 / $622.75	Professional		$114.58	$195.33	$622.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,212.03 / $1,212.03 / $1,212.03	Professional	50	$1,212.03	$1,212.03	$1,212.03
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 $133.29 / $148.85 / $232.42	Professional		$133.29	$148.85	$232.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.03 / $378.06 / $391.56	Professional	50	$234.03	$378.06	$391.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.01 / $179.01 / $179.01	Facility		$179.01	$179.01	$179.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $228.06 / $415.83	Professional		$123.20	$228.06	$415.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $174.38 / $376.24	Professional		$0.71	$174.38	$376.24
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $983.93 / $983.93 / $983.93	Facility		$983.93	$983.93	$983.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $165.56 / $400.26	Professional		$0.48	$165.56	$400.26
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $273.14 / $444.16	Professional		$193.80	$273.14	$444.16