Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.50 / $3,042.00 / $4,730.00	Facility		$760.50	$3,042.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.34 / $652.01 / $1,250.92	Professional		$471.34	$652.01	$1,250.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,018.04 / $2,018.04 / $2,092.69	Professional	50	$2,018.04	$2,018.04	$2,092.69
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 $484.16 / $597.91 / $736.47	Professional		$484.16	$597.91	$736.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $845.09 / $994.23 / $1,104.70	Professional	50	$845.09	$994.23	$1,104.70
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 $448.75 / $664.08 / $1,012.58	Professional		$448.75	$664.08	$1,012.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $419.10 / $814.92 / $1,304.07	Professional		$419.10	$814.92	$1,304.07
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 $465.67 / $698.51 / $1,117.77	Professional		$465.67	$698.51	$1,117.77
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 $613.63 / $761.50 / $1,383.79	Professional		$613.63	$761.50	$1,383.79