Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.89 / $3,042.00 / $6,953.00	Facility		$769.89	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $545.33 / $814.43	Professional		$416.93	$545.33	$814.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $210.69 / $210.69	Professional	50	$210.69	$210.69	$210.69
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 $432.44 / $526.03 / $657.54	Professional		$432.44	$526.03	$657.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $777.86 / $915.13 / $1,016.82	Professional	50	$777.86	$915.13	$1,016.82
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 $402.51 / $617.29 / $904.00	Professional		$402.51	$617.29	$904.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $350.67 / $681.85 / $1,178.10	Professional		$350.67	$681.85	$1,178.10
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 $389.63 / $584.45 / $935.01	Professional		$389.63	$584.45	$935.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,974.00 / $7,138.00	Facility		$1,282.00	$2,974.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.65 / $612.50 / $1,085.01	Professional		$511.65	$612.50	$1,085.01