Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $3,959.00 / $10,300.00	Facility		$40.04	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $53.60 / $86.53	Professional		$40.04	$53.60	$86.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.90 / $86.90 / $86.90	Professional	50	$86.90	$86.90	$86.90
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 $34.95 / $45.93 / $60.85	Professional		$34.95	$45.93	$60.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.57 / $58.32 / $64.80	Professional	50	$49.57	$58.32	$64.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $57.12 / $175.21	Professional		$40.78	$57.12	$175.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $49.31 / $74.65	Professional		$26.91	$49.31	$74.65
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.01 / $441.01 / $441.01	Facility		$441.01	$441.01	$441.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $34.46 / $44.85	Professional		$0.48	$34.46	$44.85
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 $44.20 / $64.20 / $90.45	Professional		$44.20	$64.20	$90.45