Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.46 / $3,459.00 / $7,674.00	Facility		$589.46	$3,459.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $560.84 / $946.94	Professional		$498.14	$560.84	$946.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.52 / $762.08 / $1,663.88	Professional	50	$252.52	$762.08	$1,663.88
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 $503.53 / $611.01 / $909.84	Professional		$503.53	$611.01	$909.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $733.33 / $733.33 / $2,254.14	Professional	50	$733.33	$733.33	$2,254.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.16 / $610.79 / $1,019.37	Professional		$467.16	$610.79	$1,019.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $454.72 / $704.35 / $1,296.30	Professional		$454.72	$704.35	$1,296.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.63 / $2,021.63 / $2,021.63	Facility		$2,021.63	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $478.65 / $598.29 / $945.15	Professional		$478.65	$598.29	$945.15
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 $549.72 / $636.61 / $1,098.72	Professional		$549.72	$636.61	$1,098.72