Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.72 / $2,173.00 / $4,730.00	Facility		$198.72	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $145.66 / $252.36	Professional		$102.48	$145.66	$252.36
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 $93.09 / $124.89 / $212.64	Professional		$93.09	$124.89	$212.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $112.34	Facility		$112.34	$112.34	$112.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.41 / $138.69 / $221.00	Professional		$93.41	$138.69	$221.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $147.83 / $248.03	Professional		$95.38	$147.83	$248.03
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $150.57 / $172.65	Professional		$100.40	$150.57	$172.65
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 $128.79 / $157.78 / $276.57	Professional		$128.79	$157.78	$276.57