Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,396.00	Facility		$750.00	$1,706.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $175.83 / $371.39	Professional		$109.83	$175.83	$371.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $154.22 / $268.56	Professional		$94.38	$154.22	$268.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.52 / $138.52 / $138.52	Facility		$138.52	$138.52	$138.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $171.45 / $281.97	Professional		$100.34	$171.45	$281.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $105.91 / $167.56 / $298.52	Professional		$105.91	$167.56	$298.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $162.15 / $217.67	Professional		$108.10	$162.15	$217.67
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.56 / $199.06 / $355.33	Professional		$151.56	$199.06	$355.33