Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.12 / $1,713.00 / $4,473.00	Facility		$166.12	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $153.18 / $548.04	Professional		$113.07	$153.18	$548.04
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 $122.02 / $169.46 / $247.26	Professional		$122.02	$169.46	$247.26
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 $91.09 / $161.40 / $250.41	Professional		$91.09	$161.40	$250.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $164.55 / $359.81	Professional		$81.18	$164.55	$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 $90.20 / $135.30 / $224.57	Professional		$90.20	$135.30	$224.57
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 $159.47 / $207.24 / $293.60	Professional		$159.47	$207.24	$293.60