Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $1,706.00 / $4,473.00	Facility		$171.87	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $145.63 / $267.14	Professional		$116.37	$145.63	$267.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $146.41 / $254.07	Professional		$108.65	$146.41	$254.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $225.57 / $225.57	Facility		$225.57	$225.57	$225.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $171.79 / $244.36	Professional		$117.47	$171.79	$244.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $132.83 / $191.53 / $279.44	Professional		$132.83	$191.53	$279.44
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 $132.83 / $169.92 / $275.97	Professional		$132.83	$169.92	$275.97
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 $140.97 / $176.84 / $324.74	Professional		$140.97	$176.84	$324.74