Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.61 / $3,042.00 / $6,953.00	Facility		$797.61	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.22 / $613.12 / $1,093.08	Professional		$446.22	$613.12	$1,093.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $405.48 / $406.75 / $1,232.98	Professional	50	$405.48	$406.75	$1,232.98
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 $464.35 / $561.16 / $701.45	Professional		$464.35	$561.16	$701.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $804.91 / $946.95 / $1,052.17	Professional	50	$804.91	$946.95	$1,052.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.51 / $1,079.51 / $1,079.51	Facility		$1,079.51	$1,079.51	$1,079.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.32 / $645.79 / $959.55	Professional		$430.32	$645.79	$959.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $386.75 / $720.20 / $1,198.16	Professional		$386.75	$720.20	$1,198.16
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $429.72 / $622.50 / $982.10	Professional		$429.72	$622.50	$982.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.62 / $667.55 / $1,134.59	Professional		$550.62	$667.55	$1,134.59