Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.69 / $919.00 / $3,959.00	Facility		$658.69	$919.00	$3,959.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $179.96 / $317.02	Professional		$109.68	$179.96	$317.02
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 $105.45 / $165.35 / $254.98	Professional		$105.45	$165.35	$254.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.61 / $126.61 / $126.61	Facility		$126.61	$126.61	$126.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $179.39 / $305.18	Professional		$107.43	$179.39	$305.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $160.25 / $280.52	Professional		$102.86	$160.25	$280.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $154.29 / $200.31	Professional		$102.86	$154.29	$200.31
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 $166.68 / $205.35 / $349.66	Professional		$166.68	$205.35	$349.66