Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.55 / $482.90 / $4,396.00	Facility		$162.55	$482.90	$4,396.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $486.51 / $486.51 / $486.51	Facility	50	$486.51	$486.51	$486.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $89.32 / $485.00	Professional		$47.64	$89.32	$485.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $153.38 / $323.74 / $734.90	Professional	50	$153.38	$323.74	$734.90
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 $49.83 / $56.04 / $84.88	Professional		$49.83	$56.04	$84.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $108.23 / $127.33 / $141.47	Professional	50	$108.23	$127.33	$141.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $84.59 / $149.13	Professional		$48.81	$84.59	$149.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $72.01 / $143.03	Professional		$0.93	$72.01	$143.03
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $45.97 / $77.67	Professional		$41.15	$45.97	$77.67
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 $83.16 / $118.62 / $157.09	Professional		$83.16	$118.62	$157.09