Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.97 / $3,959.00 / $10,300.00	Facility		$138.97	$3,959.00	$10,300.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,834.99 / $4,834.99 / $4,834.99	Facility	50	$4,834.99	$4,834.99	$4,834.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $138.97 / $213.91	Professional		$106.69	$138.97	$213.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $172.38	Professional	50	$172.38	$172.38	$172.38
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 $108.72 / $117.19 / $156.82	Professional		$108.72	$117.19	$156.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.32 / $178.02 / $197.80	Professional	50	$151.32	$178.02	$197.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.72 / $83.72 / $83.72	Facility		$83.72	$83.72	$83.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $149.18 / $334.00	Professional		$102.73	$149.18	$334.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $142.40 / $223.45	Professional		$80.44	$142.40	$223.45
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 $106.99 / $129.10 / $160.49	Professional		$106.99	$129.10	$160.49
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $1,277.00 / $1,998.00	Facility		$119.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $132.65 / $233.74	Professional		$110.41	$132.65	$233.74