Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.50 / $1,996.00 / $4,473.00	Facility		$994.50	$1,996.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.02 / $552.42 / $759.76	Professional		$408.02	$552.42	$759.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.90 / $481.90 / $1,104.56	Professional	50	$481.90	$481.90	$1,104.56
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 $423.32 / $507.94 / $596.55	Professional		$423.32	$507.94	$596.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $667.66 / $785.48 / $872.76	Professional	50	$667.66	$785.48	$872.76
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 $392.75 / $609.20 / $875.13	Professional		$392.75	$609.20	$875.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $355.38 / $683.13 / $1,136.54	Professional		$355.38	$683.13	$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 $394.87 / $558.59 / $879.68	Professional		$394.87	$558.59	$879.68
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 $481.83 / $591.50 / $1,018.66	Professional		$481.83	$591.50	$1,018.66