Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.76 / $1,706.00 / $4,473.00	Facility		$63.76	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $76.42 / $114.45	Professional		$52.40	$76.42	$114.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.51 / $108.51 / $225.04	Professional	50	$108.51	$108.51	$225.04
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 $45.61 / $61.64 / $80.89	Professional		$45.61	$61.64	$80.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.81 / $75.06 / $83.41	Professional	50	$63.81	$75.06	$83.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $75.37 / $149.55	Professional		$48.94	$75.37	$149.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $56.61 / $108.34	Professional		$23.98	$56.61	$108.34
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $330.37 / $330.37 / $330.37	Facility		$330.37	$330.37	$330.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $44.71 / $57.14	Professional		$38.09	$44.71	$57.14
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 $54.14 / $80.88 / $119.95	Professional		$54.14	$80.88	$119.95