Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.32 / $3,459.00 / $7,674.00	Facility		$235.32	$3,459.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.57 / $228.11 / $825.89	Professional		$123.57	$228.11	$825.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $474.95 / $474.95 / $474.95	Professional	50	$474.95	$474.95	$474.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $258.88 / $733.59	Professional		$138.34	$258.88	$733.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $304.58 / $358.33 / $398.14	Professional	50	$304.58	$358.33	$398.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.76 / $150.76 / $150.76	Facility		$150.76	$150.76	$150.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $218.76 / $752.03	Professional		$142.69	$218.76	$752.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $190.00 / $387.89	Professional		$99.66	$190.00	$387.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $153.53 / $1,637.08 / $1,637.08	Facility		$153.53	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $119.84 / $230.30	Professional		$105.96	$119.84	$230.30
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $344.98 / $926.64	Professional		$217.80	$344.98	$926.64