Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.54 / $2,173.00 / $4,841.00	Facility		$348.54	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $246.81 / $535.85	Professional		$138.03	$246.81	$535.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.56 / $342.56 / $342.56	Professional	50	$342.56	$342.56	$342.56
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 $146.79 / $196.36 / $304.56	Professional		$146.79	$196.36	$304.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $374.28 / $440.32 / $489.25	Professional	50	$374.28	$440.32	$489.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.81 / $201.81 / $201.81	Facility		$201.81	$201.81	$201.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.56 / $250.00 / $504.23	Professional		$132.56	$250.00	$504.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $235.59 / $437.90	Professional		$120.04	$235.59	$437.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,070.41 / $1,070.41 / $1,070.41	Facility		$1,070.41	$1,070.41	$1,070.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $200.07 / $321.26	Professional		$133.38	$200.07	$321.26
United Facility/Professional Facility Modifier Low / Median / High Price $223.08 / $2,200.00 / $6,244.00	Facility		$223.08	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $279.36 / $497.46	Professional		$242.40	$279.36	$497.46