Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $3,042.00 / $10,300.00	Facility		$1,350.00	$3,042.00	$10,300.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,179.00 / $4,563.00 / $9,610.50	Facility	50	$4,179.00	$4,563.00	$9,610.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.99 / $717.22 / $1,381.58	Professional		$588.99	$717.22	$1,381.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.10 / $4,348.17 / $5,685.00	Professional	50	$288.10	$4,348.17	$5,685.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.02 / $934.17 / $1,366.59	Professional		$712.02	$934.17	$1,366.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,097.91 / $1,291.66 / $1,435.18	Professional	50	$1,097.91	$1,291.66	$1,435.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.26 / $1,618.26 / $1,618.26	Facility		$1,618.26	$1,618.26	$1,618.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.29 / $874.50 / $1,312.54	Professional		$634.29	$874.50	$1,312.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $931.42 / $1,674.04	Professional		$350.00	$931.42	$1,674.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.04 / $4,232.04 / $4,232.04	Facility		$1,674.04	$4,232.04	$4,232.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $606.86 / $654.52 / $1,327.55	Professional		$606.86	$654.52	$1,327.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,000.00 / $19,673.00	Facility		$1,282.00	$3,000.00	$19,673.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.78 / $1,000.43 / $1,500.66	Professional		$801.78	$1,000.43	$1,500.66