Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.01 / $2,472.00 / $5,923.00	Facility		$396.01	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $369.63 / $1,504.81	Professional		$273.88	$369.63	$1,504.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,257.21 / $2,257.21 / $2,348.40	Professional	50	$2,257.21	$2,257.21	$2,348.40
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 $291.06 / $403.25 / $617.39	Professional		$291.06	$403.25	$617.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $512.33 / $602.74 / $669.72	Professional	50	$512.33	$602.74	$669.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $217.13 / $217.13	Facility		$217.13	$217.13	$217.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.68 / $391.52 / $606.14	Professional		$248.68	$391.52	$606.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $369.20 / $599.14	Professional		$135.00	$369.20	$599.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $226.78 / $1,637.08 / $1,637.08	Facility		$226.78	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $277.20 / $369.20	Professional		$246.13	$277.20	$369.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.25 / $451.50 / $722.77	Professional		$376.25	$451.50	$722.77