Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.70 / $1,989.00 / $4,730.00	Facility		$517.70	$1,989.00	$4,730.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,559.25 / $1,743.80 / $7,392.06	Facility	50	$1,559.25	$1,743.80	$7,392.06
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $78.73 / $97.22 / $258.85	Facility	52	$78.73	$97.22	$258.85
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.50 / $38.89 / $103.54	Facility	53	$31.50	$38.89	$103.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.46 / $419.29 / $812.64	Professional		$150.46	$419.29	$812.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $139.72 / $816.67 / $3,630.23	Professional	50	$139.72	$816.67	$3,630.23
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 $159.51 / $354.85 / $673.11	Professional		$159.51	$354.85	$673.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $452.43 / $532.27 / $591.41	Professional	50	$452.43	$532.27	$591.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,741.63 / $1,741.63 / $1,741.63	Facility		$1,741.63	$1,741.63	$1,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $427.00 / $747.99	Professional		$146.22	$427.00	$747.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $371.01 / $1,799.18	Professional		$130.76	$371.01	$1,799.18
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.18 / $3,811.73 / $3,811.73	Facility		$1,799.18	$3,811.73	$3,811.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $148.32 / $556.52	Professional		$137.63	$148.32	$556.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.62 / $558.01 / $858.24	Professional		$413.62	$558.01	$858.24