Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.00 / $2,472.00 / $5,923.00	Facility		$1,132.00	$2,472.00	$5,923.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.00 / $3,003.60 / $8,313.00	Facility	50	$1,698.00	$3,003.60	$8,313.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $163.75 / $797.00	Professional		$137.74	$163.75	$797.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $250.74 / $694.49 / $1,297.50	Professional	50	$250.74	$694.49	$1,297.50
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 $154.62 / $190.08 / $273.57	Professional		$154.62	$190.08	$273.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $173.65 / $204.29 / $226.99	Professional	50	$173.65	$204.29	$226.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $691.66 / $691.66	Facility		$691.66	$691.66	$691.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $179.61 / $268.75	Professional		$136.02	$179.61	$268.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $200.00 / $860.39	Professional		$3.53	$200.00	$860.39
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $688.31 / $1,637.08 / $1,637.08	Facility		$688.31	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $155.41 / $1,032.47	Professional		$2.40	$155.41	$1,032.47
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,578.00 / $6,244.00	Facility		$721.00	$2,578.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $188.16 / $273.27	Professional		$156.80	$188.16	$273.27