Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,388.89 / $6,953.00	Facility		$1,642.00	$3,388.89	$6,953.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,209.00 / $4,209.00 / $4,209.00	Facility	50	$4,209.00	$4,209.00	$4,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $3,232.77 / $4,841.09	Professional		$230.93	$3,232.77	$4,841.09
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 $284.64 / $3,170.89 / $5,669.23	Professional		$284.64	$3,170.89	$5,669.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $4,042.89 / $4,756.34 / $5,284.83	Professional	50	$4,042.89	$4,756.34	$5,284.83
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $377.33 / $443.92 / $493.25	Professional	AS	$377.33	$443.92	$493.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,271.79 / $3,271.79 / $3,271.79	Facility		$3,271.79	$3,271.79	$3,271.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $3,160.35 / $5,083.33	Professional		$220.87	$3,160.35	$5,083.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $191.12 / $2,431.39 / $4,687.88	Professional		$191.12	$2,431.39	$4,687.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,559.36 / $7,650.58 / $7,650.58	Facility		$2,559.36	$7,650.58	$7,650.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $243.90 / $3,839.04	Professional		$212.36	$243.90	$3,839.04
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 $3,573.86 / $4,866.10 / $6,767.19	Professional		$3,573.86	$4,866.10	$6,767.19