Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.28 / $2,472.00 / $5,923.00	Facility		$367.28	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.54 / $351.31 / $1,349.53	Professional		$223.54	$351.31	$1,349.53
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 $179.94 / $264.95 / $510.75	Professional		$179.94	$264.95	$510.75
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 $175.48 / $300.00 / $529.96	Professional		$175.48	$300.00	$529.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $291.08 / $602.14	Professional		$200.00	$291.08	$602.14
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 $219.23 / $328.85 / $361.88	Professional		$219.23	$328.85	$361.88
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 $272.45 / $376.15 / $667.81	Professional		$272.45	$376.15	$667.81