Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $3,959.00 / $10,300.00	Facility		$41.45	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $37.56 / $69.26	Professional		$30.03	$37.56	$69.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.92 / $47.03	Professional		$32.36	$37.92	$47.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.96 / $63.49 / $70.54	Professional	50	$53.96	$63.49	$70.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $46.84 / $162.37	Professional		$34.17	$46.84	$162.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $44.86 / $71.88	Professional		$25.97	$44.86	$71.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.01 / $441.01 / $441.01	Facility		$441.01	$441.01	$441.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $32.79 / $43.28	Professional		$0.60	$32.79	$43.28
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $44.03 / $74.98	Professional		$35.90	$44.03	$74.98