Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,473.00	Facility		$750.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $186.34 / $539.19	Professional		$103.90	$186.34	$539.19
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 $142.97 / $175.90 / $316.89	Professional		$142.97	$175.90	$316.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.33 / $249.33 / $249.33	Facility		$249.33	$249.33	$249.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $174.47 / $319.44	Professional		$110.93	$174.47	$319.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $170.98 / $370.04	Professional		$5.60	$170.98	$370.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $255.20 / $483.16 / $483.16	Facility		$255.20	$483.16	$483.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $160.25 / $382.80	Professional		$4.20	$160.25	$382.80
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,055.00 / $1,975.00	Facility		$200.00	$1,055.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $169.23 / $310.58	Professional		$108.80	$169.23	$310.58