Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.84 / $504.31 / $4,473.00	Facility		$221.84	$504.31	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.71 / $221.29 / $849.00	Professional		$121.71	$221.29	$849.00
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 $127.82 / $149.18 / $224.50	Professional		$127.82	$149.18	$224.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $195.65 / $331.94	Professional		$107.55	$195.65	$331.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $200.00 / $354.30	Professional		$1.52	$200.00	$354.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $117.58 / $199.74	Professional		$114.75	$117.58	$199.74
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 $186.80 / $259.12 / $503.25	Professional		$186.80	$259.12	$503.25