Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.31 / $1,639.00 / $4,396.00	Facility		$697.31	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $198.83 / $568.03	Professional		$139.69	$198.83	$568.03
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 $119.75 / $171.92 / $215.91	Professional		$119.75	$171.92	$215.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.16 / $105.16 / $105.16	Facility		$105.16	$105.16	$105.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $170.13 / $266.33	Professional		$109.74	$170.13	$266.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $157.77 / $247.91	Professional		$93.45	$157.77	$247.91
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 $93.45 / $140.18 / $159.84	Professional		$93.45	$140.18	$159.84
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $178.00 / $288.73	Professional		$151.30	$178.00	$288.73