Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.73 / $2,472.00 / $5,923.00	Facility		$207.73	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $201.37 / $895.00	Professional		$123.85	$201.37	$895.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,182.58 / $1,342.50 / $1,582.50	Professional	50	$1,182.58	$1,342.50	$1,582.50
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 $127.43 / $200.33 / $304.41	Professional		$127.43	$200.33	$304.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $273.95 / $322.29 / $358.11	Professional	50	$273.95	$322.29	$358.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.63 / $144.63 / $144.63	Facility		$144.63	$144.63	$144.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $195.12 / $306.12	Professional		$112.31	$195.12	$306.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.99 / $200.01 / $318.18	Professional		$107.99	$200.01	$318.18
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $151.41 / $562.80 / $562.80	Facility		$151.41	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $129.25 / $227.13	Professional		$118.47	$129.25	$227.13
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.94 / $230.42 / $342.81	Professional		$177.94	$230.42	$342.81