Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.97 / $815.22 / $3,605.00	Facility		$354.97	$815.22	$3,605.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $127.86 / $541.00	Professional		$82.89	$127.86	$541.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $115.22 / $202.30	Professional		$73.61	$115.22	$202.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.22 / $108.22 / $108.22	Facility		$108.22	$108.22	$108.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $133.00 / $216.78	Professional		$77.15	$133.00	$216.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $142.16 / $236.54	Professional		$91.33	$142.16	$236.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $146.41 / $177.71	Professional		$101.48	$146.41	$177.71
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.08 / $155.16 / $271.54	Professional		$114.08	$155.16	$271.54