Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,774.50 / $1,774.50 / $3,958.50	Facility	50	$1,774.50	$1,774.50	$3,958.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $155.88 / $456.16	Professional		$129.33	$155.88	$456.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $179.86 / $260.82	Professional		$147.41	$179.86	$260.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,467.17 / $1,467.17	Facility		$1,467.17	$1,467.17	$1,467.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $168.70 / $245.88	Professional		$128.50	$168.70	$245.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $190.00 / $1,932.43	Professional		$2.38	$190.00	$1,932.43
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.94 / $3,584.18 / $3,584.18	Facility		$1,545.94	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $147.21 / $2,318.91	Professional		$1.62	$147.21	$2,318.91
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.96 / $175.27 / $256.81	Professional		$144.96	$175.27	$256.81