Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.94 / $3,042.00 / $6,953.00	Facility		$740.94	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $532.70 / $806.00	Professional		$428.62	$532.70	$806.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,141.71 / $1,181.43 / $1,492.96	Professional	50	$1,141.71	$1,181.43	$1,492.96
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 $446.25 / $532.79 / $649.79	Professional		$446.25	$532.79	$649.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $745.63 / $877.21 / $974.68	Professional	50	$745.63	$877.21	$974.68
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 $413.47 / $645.27 / $1,120.75	Professional		$413.47	$645.27	$1,120.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $365.60 / $702.76 / $1,250.19	Professional		$365.60	$702.76	$1,250.19
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 $406.22 / $576.04 / $905.72	Professional		$406.22	$576.04	$905.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,000.00 / $7,138.00	Facility		$1,282.00	$3,000.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.36 / $629.00 / $1,080.73	Professional		$540.36	$629.00	$1,080.73