Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $81.81 / $111.57	Facility		$74.45	$81.81	$111.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $98.91 / $404.43	Professional		$69.55	$98.91	$404.43
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 $75.56 / $85.87 / $125.84	Professional		$75.56	$85.87	$125.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $60.92 / $60.92	Facility		$60.92	$60.92	$60.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $117.74 / $172.94	Professional		$75.26	$117.74	$172.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $93.19 / $178.87	Professional		$0.26	$93.19	$178.87
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 $0.18 / $99.14 / $175.37	Professional		$0.18	$99.14	$175.37
United Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $1,055.00 / $1,975.00	Facility		$61.04	$1,055.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $116.81 / $192.77	Professional		$90.20	$116.81	$192.77