Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.87 / $1,706.00 / $4,473.00	Facility		$201.87	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $184.65 / $291.77	Professional		$147.81	$184.65	$291.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $205.43 / $305.47	Professional		$172.99	$205.43	$305.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.64 / $349.64 / $349.64	Facility		$349.64	$349.64	$349.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $186.75 / $288.38	Professional		$141.16	$186.75	$288.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $217.51 / $359.81	Professional		$133.63	$217.51	$359.81
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $359.81 / $683.29 / $683.29	Facility		$359.81	$683.29	$683.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $149.24 / $283.70	Professional		$145.68	$149.24	$283.70
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $237.80 / $332.64	Professional		$184.80	$237.80	$332.64