Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $20.89	Professional		$10.00	$10.96	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $26.30	Professional		$12.30	$16.22	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $48.98	Professional		$11.22	$15.85	$48.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.36	Professional		$0.28	$0.28	$0.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $11.22	Professional		$10.23	$10.23	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $20.89	Professional		$11.48	$15.49	$20.89