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 Professional Modifier Low / Median / High Price $187.32 / $934.25 / $3,883.96	Professional		$187.32	$934.25	$3,883.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $909.86 / $934.25 / $1,401.37	Professional	50	$909.86	$934.25	$1,401.37
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 $198.99 / $1,706.63 / $4,355.24	Professional		$198.99	$1,706.63	$4,355.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,175.94 / $2,559.94 / $2,844.39	Professional	50	$2,175.94	$2,559.94	$2,844.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,506.66 / $1,506.66 / $1,506.66	Facility		$1,506.66	$1,506.66	$1,506.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.23 / $1,851.26 / $4,143.24	Professional		$170.23	$1,851.26	$4,143.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $1,443.01 / $2,706.92	Professional		$142.44	$1,443.01	$2,706.92
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,562.58 / $7,650.58 / $7,650.58	Facility		$1,562.58	$7,650.58	$7,650.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $172.62 / $2,343.87	Professional		$149.94	$172.62	$2,343.87
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 $1,749.00 / $2,930.58 / $5,893.50	Professional		$1,749.00	$2,930.58	$5,893.50