Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $3,959.00 / $10,300.00	Facility		$51.98	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $76.69 / $238.86	Professional		$50.39	$76.69	$238.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.05 / $342.05 / $342.05	Professional	50	$342.05	$342.05	$342.05
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 $55.38 / $86.36 / $132.72	Professional		$55.38	$86.36	$132.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $103.79 / $122.10 / $135.66	Professional	50	$103.79	$122.10	$135.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $90.03 / $153.83	Professional		$52.75	$90.03	$153.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $76.59 / $161.05	Professional		$0.47	$76.59	$161.05
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $49.80 / $76.33	Professional		$43.77	$49.80	$76.33
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 $81.00 / $123.42 / $167.79	Professional		$81.00	$123.42	$167.79