Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $108.28 / $165.73	Facility		$98.54	$108.28	$165.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $150.81 / $536.84	Professional		$96.18	$150.81	$536.84
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 $100.64 / $115.67 / $173.30	Professional		$100.64	$115.67	$173.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $113.67 / $113.67	Facility		$113.67	$113.67	$113.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $167.25 / $256.88	Professional		$105.74	$167.25	$256.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $146.52 / $261.43	Professional		$0.88	$146.52	$261.43
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 $0.60 / $141.41 / $272.33	Professional		$0.60	$141.41	$272.33
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 $135.16 / $180.40 / $284.12	Professional		$135.16	$180.40	$284.12