Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $3,959.00 / $10,300.00	Facility		$22.45	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $43.92 / $63.01	Professional		$20.88	$43.92	$63.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.36 / $44.36 / $67.09	Professional	50	$44.36	$44.36	$67.09
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 $18.43 / $28.79 / $50.23	Professional		$18.43	$28.79	$50.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $24.23 / $28.51 / $31.68	Professional	50	$24.23	$28.51	$31.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $41.38 / $95.15	Professional		$20.39	$41.38	$95.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $26.50 / $62.47	Professional		$16.73	$26.50	$62.47
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $18.93 / $27.90	Professional		$0.24	$18.93	$27.90
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 $25.50 / $46.50 / $69.90	Professional		$25.50	$46.50	$69.90