Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.60 / $2,472.00 / $5,923.00	Facility		$196.60	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $187.03 / $697.82	Professional		$114.95	$187.03	$697.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $361.52 / $1,431.00 / $1,503.00	Professional	50	$361.52	$1,431.00	$1,503.00
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 $118.13 / $185.17 / $288.27	Professional		$118.13	$185.17	$288.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $200.66 / $236.07 / $262.30	Professional	50	$200.66	$236.07	$262.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $130.60 / $130.60	Facility		$130.60	$130.60	$130.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $180.62 / $289.08	Professional		$103.54	$180.62	$289.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $181.21 / $301.39	Professional		$98.55	$181.21	$301.39
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $256.64 / $256.64	Facility		$135.22	$256.64	$256.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $117.70 / $202.83	Professional		$109.50	$117.70	$202.83
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 $178.92 / $229.75 / $323.91	Professional		$178.92	$229.75	$323.91