Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.54 / $3,042.00 / $6,953.00	Facility		$664.54	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.57 / $550.07 / $1,038.27	Professional		$414.57	$550.07	$1,038.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.04 / $78.04 / $780.44	Professional	50	$78.04	$78.04	$780.44
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 $389.82 / $437.95 / $557.35	Professional		$389.82	$437.95	$557.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $575.66 / $677.25 / $752.50	Professional	50	$575.66	$677.25	$752.50
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 $362.48 / $558.44 / $922.46	Professional		$362.48	$558.44	$922.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $335.65 / $603.53 / $1,136.54	Professional		$335.65	$603.53	$1,136.54
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 $372.94 / $517.04 / $816.69	Professional		$372.94	$517.04	$816.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,138.00	Facility		$1,282.00	$2,947.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.86 / $539.01 / $906.44	Professional		$420.86	$539.01	$906.44