Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.11 / $1,706.00 / $4,473.00	Facility		$197.11	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.15 / $188.18 / $278.45	Professional		$141.15	$188.18	$278.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.86 / $296.58 / $403.28	Professional	50	$98.86	$296.58	$403.28
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 $134.13 / $167.66 / $213.29	Professional		$134.13	$167.66	$213.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $198.34 / $233.34 / $259.27	Professional	50	$198.34	$233.34	$259.27
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 $148.30 / $202.42 / $354.88	Professional		$148.30	$202.42	$354.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $192.12 / $292.98	Professional		$100.46	$192.12	$292.98
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 $111.62 / $153.96 / $240.15	Professional		$111.62	$153.96	$240.15
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 $153.34 / $226.56 / $298.89	Professional		$153.34	$226.56	$298.89