Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.19 / $2,173.00 / $4,841.00	Facility		$223.19	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $216.27 / $707.66	Professional		$132.00	$216.27	$707.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,587.00 / $1,587.00 / $1,587.00	Professional	50	$1,587.00	$1,587.00	$1,587.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $212.94 / $327.60	Professional		$132.66	$212.94	$327.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $294.91 / $346.96 / $385.51	Professional	50	$294.91	$346.96	$385.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.34 / $162.34 / $162.34	Facility		$162.34	$162.34	$162.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.12 / $204.32 / $330.23	Professional		$118.12	$204.32	$330.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $208.45 / $341.32	Professional		$112.34	$208.45	$341.32
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $170.70 / $562.80 / $562.80	Facility		$170.70	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $132.53 / $256.05	Professional		$124.82	$132.53	$256.05
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.09 / $252.84 / $379.26	Professional		$208.09	$252.84	$379.26