Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,301.00 / $5,181.60	Facility		$1,210.00	$2,301.00	$5,181.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $134.77 / $257.86	Professional		$81.91	$134.77	$257.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $131.90 / $215.12	Professional		$81.65	$131.90	$215.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $186.23 / $219.10 / $379.86	Professional	50	$186.23	$219.10	$379.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.59 / $93.59 / $93.59	Facility		$93.59	$93.59	$93.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $140.02 / $225.00	Professional		$84.72	$140.02	$225.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $125.44 / $240.54	Professional		$83.07	$125.44	$240.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.63 / $2,021.63 / $2,021.63	Facility		$2,021.63	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $124.61 / $153.06	Professional		$83.07	$124.61	$153.06
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $174.72 / $314.30	Professional		$152.32	$174.72	$314.30