Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.47 / $1,706.00 / $4,473.00	Facility		$123.47	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $106.77 / $402.63	Professional		$71.70	$106.77	$402.63
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 $77.56 / $93.94 / $129.16	Professional		$77.56	$93.94	$129.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.74 / $84.74 / $84.74	Facility		$84.74	$84.74	$84.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $113.81 / $188.48	Professional		$78.34	$113.81	$188.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $102.95 / $178.17	Professional		$0.96	$102.95	$178.17
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $108.36 / $185.60	Professional		$0.72	$108.36	$185.60
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 $94.10 / $131.88 / $200.32	Professional		$94.10	$131.88	$200.32