Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.37 / $3,959.00 / $10,300.00	Facility		$94.37	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $103.75 / $165.27	Professional		$86.24	$103.75	$165.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.47 / $168.47 / $168.47	Professional	50	$168.47	$168.47	$168.47
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 $80.08 / $96.07 / $131.51	Professional		$80.08	$96.07	$131.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $118.22 / $139.09 / $154.54	Professional	50	$118.22	$139.09	$154.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $112.05 / $250.00	Professional		$88.16	$112.05	$250.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $118.84 / $171.95	Professional		$64.42	$118.84	$171.95
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 / $76.45 / $107.37	Professional		$0.60	$76.45	$107.37
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 $88.40 / $115.06 / $172.31	Professional		$88.40	$115.06	$172.31