Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.96 / $3,959.00 / $10,300.00	Facility		$958.96	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.96 / $968.18 / $1,074.82	Professional		$958.96	$968.18	$1,074.82
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 $420.77 / $973.75 / $1,424.25	Professional		$420.77	$973.75	$1,424.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.64 / $817.05 / $1,383.12	Professional		$282.64	$817.05	$1,383.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $190.00 / $398.97	Professional		$4.90	$190.00	$398.97
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $366.58 / $366.58	Facility		$189.38	$366.58	$366.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.51 / $441.63 / $620.86	Professional		$331.51	$441.63	$620.86