Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.89 / $2,173.00 / $4,730.00	Facility		$276.89	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $248.08 / $417.01	Professional		$167.50	$248.08	$417.01
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 $177.76 / $271.83 / $376.48	Professional		$177.76	$271.83	$376.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.45 / $833.45 / $833.45	Facility		$833.45	$833.45	$833.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.02 / $240.57 / $395.55	Professional		$150.02	$240.57	$395.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $126.13 / $249.21 / $881.06	Professional		$126.13	$249.21	$881.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $881.06 / $1,905.85 / $1,905.85	Facility		$881.06	$1,905.85	$1,905.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $153.62 / $373.82	Professional		$135.53	$153.62	$373.82
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.97 / $295.20 / $436.14	Professional		$241.97	$295.20	$436.14