Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.22 / $1,639.00 / $4,396.00	Facility		$388.22	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $94.99 / $495.00	Professional		$38.89	$94.99	$495.00
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 $44.51 / $100.90 / $155.22	Professional		$44.51	$100.90	$155.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Facility		$66.37	$66.37	$66.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $85.33 / $161.99	Professional		$40.58	$85.33	$161.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $86.09 / $161.49	Professional		$33.26	$86.09	$161.49
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $777.59 / $777.59	Facility		$68.34	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $40.47 / $102.53	Professional		$35.79	$40.47	$102.53
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $121.29 / $180.38	Professional		$90.19	$121.29	$180.38