Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $1,706.00 / $4,473.00	Facility		$217.92	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $146.50 / $233.90	Professional		$95.81	$146.50	$233.90
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 $98.74 / $135.16 / $186.05	Professional		$98.74	$135.16	$186.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $221.06 / $260.07 / $288.97	Professional	50	$221.06	$260.07	$288.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $1,277.64 / $1,277.64	Facility		$1,277.64	$1,277.64	$1,277.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $146.00 / $250.00	Professional		$92.49	$146.00	$250.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $181.36 / $1,311.23	Professional		$87.68	$181.36	$1,311.23
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,520.62 / $2,520.62 / $2,520.62	Facility		$2,520.62	$2,520.62	$2,520.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $146.13 / $264.48	Professional		$97.42	$146.13	$264.48
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $168.99 / $304.42	Professional		$115.18	$168.99	$304.42