Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.68 / $3,959.00 / $10,300.00	Facility		$36.68	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $61.50 / $118.43	Professional		$29.94	$61.50	$118.43
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 $28.91 / $55.28 / $143.01	Professional		$28.91	$55.28	$143.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $110.43 / $129.91 / $176.97	Professional	50	$110.43	$129.91	$176.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $57.95 / $140.25	Professional		$27.12	$57.95	$140.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $54.62 / $154.36	Professional		$29.12	$54.62	$154.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $35.60 / $99.97	Professional		$0.72	$35.60	$99.97
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 $58.38 / $102.87 / $188.38	Professional		$58.38	$102.87	$188.38