Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.64 / $1,706.00 / $4,473.00	Facility		$535.64	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $384.33 / $756.23	Professional		$227.21	$384.33	$756.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $300.00 / $300.00	Professional	50	$300.00	$300.00	$300.00
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 $244.08 / $316.23 / $423.68	Professional		$244.08	$316.23	$423.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $503.99 / $592.92 / $658.81	Professional	50	$503.99	$592.92	$658.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.46 / $168.46 / $168.46	Facility		$168.46	$168.46	$168.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.01 / $450.35 / $810.21	Professional		$257.01	$450.35	$810.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $352.84 / $679.00	Professional		$163.60	$352.84	$679.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $330.37 / $330.37 / $330.37	Facility		$330.37	$330.37	$330.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $272.67 / $410.63	Professional		$211.28	$272.67	$410.63
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.70 / $452.98 / $782.81	Professional		$377.70	$452.98	$782.81