Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.43 / $1,706.00 / $4,473.00	Facility		$271.43	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $179.20 / $289.98	Professional		$128.16	$179.20	$289.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.52 / $249.42 / $273.29	Professional	50	$194.52	$249.42	$273.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $180.60 / $242.85	Professional		$135.00	$180.60	$242.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $289.66 / $340.78 / $378.64	Professional	50	$289.66	$340.78	$378.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.83 / $153.83 / $153.83	Facility		$153.83	$153.83	$153.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $219.64 / $401.00	Professional		$123.54	$219.64	$401.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $202.85 / $345.74	Professional		$114.19	$202.85	$345.74
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 $126.88 / $190.32 / $246.59	Professional		$126.88	$190.32	$246.59
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 $178.22 / $222.17 / $379.18	Professional		$178.22	$222.17	$379.18