Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $3,959.00 / $10,300.00	Facility		$43.48	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $73.73 / $178.02	Professional		$38.90	$73.73	$178.02
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 $35.20 / $67.73 / $155.47	Professional		$35.20	$67.73	$155.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.11 / $86.11 / $86.11	Facility		$86.11	$86.11	$86.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $71.63 / $152.51	Professional		$35.90	$71.63	$152.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $90.21 / $167.99	Professional		$36.02	$90.21	$167.99
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 $36.02 / $54.03 / $130.91	Professional		$36.02	$54.03	$130.91
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 $70.94 / $115.15 / $207.26	Professional		$70.94	$115.15	$207.26