Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.29 / $1,639.00 / $4,473.00	Facility		$243.29	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $224.96 / $572.01	Professional		$132.75	$224.96	$572.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $185.87 / $267.19	Professional		$139.05	$185.87	$267.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $691.66 / $691.66	Facility		$691.66	$691.66	$691.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $205.69 / $335.85	Professional		$116.69	$205.69	$335.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $242.81 / $688.31	Professional		$90.00	$242.81	$688.31
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $688.31 / $1,637.08 / $1,637.08	Facility		$688.31	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $145.08 / $327.58	Professional		$139.49	$145.08	$327.58
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $253.38 / $389.33	Professional		$185.90	$253.38	$389.33