Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.33 / $3,959.00 / $10,300.00	Facility		$211.33	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.11 / $334.96 / $987.58	Professional		$181.11	$334.96	$987.58
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 $158.68 / $192.57 / $321.55	Professional		$158.68	$192.57	$321.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.96 / $149.96 / $149.96	Facility		$149.96	$149.96	$149.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.57 / $298.24 / $543.47	Professional		$170.57	$298.24	$543.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $267.45 / $621.67	Professional		$4.41	$267.45	$621.67
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $293.51 / $293.51 / $293.51	Facility		$293.51	$293.51	$293.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $240.62 / $690.75	Professional		$3.00	$240.62	$690.75
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 $228.38 / $345.39 / $579.05	Professional		$228.38	$345.39	$579.05