Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,472.00 / $5,923.00	Facility		$1,375.00	$2,472.00	$5,923.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,347.00 / $2,347.00 / $2,347.00	Facility	50	$2,347.00	$2,347.00	$2,347.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $1,721.69 / $2,471.92	Professional		$158.83	$1,721.69	$2,471.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.09 / $126.09 / $384.83	Professional	50	$126.09	$126.09	$384.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,078.00 / $7,046.00 / $13,100.00	Facility		$5,078.00	$7,046.00	$13,100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $1,683.66 / $3,005.22	Professional		$175.87	$1,683.66	$3,005.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,146.67 / $2,525.48 / $2,806.11	Professional	50	$2,146.67	$2,525.48	$2,806.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.01 / $3,235.01 / $3,235.01	Facility		$3,235.01	$3,235.01	$3,235.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $1,827.08 / $2,699.30	Professional		$142.88	$1,827.08	$2,699.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $1,498.94 / $3,242.74	Professional		$126.16	$1,498.94	$3,242.74
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,242.74 / $7,650.58 / $7,650.58	Facility		$3,242.74	$7,650.58	$7,650.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $151.35 / $2,366.75	Professional		$132.80	$151.35	$2,366.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,873.91 / $2,591.98 / $3,640.73	Professional		$1,873.91	$2,591.98	$3,640.73