Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.67 / $1,706.00 / $4,473.00	Facility		$103.67	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $94.71 / $161.55	Professional		$29.26	$94.71	$161.55
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 $31.46 / $96.63 / $150.19	Professional		$31.46	$96.63	$150.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $90.53 / $90.53	Facility		$90.53	$90.53	$90.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $69.00 / $155.50	Professional		$32.25	$69.00	$155.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $100.96 / $168.60	Professional		$25.64	$100.96	$168.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $93.59 / $562.80 / $562.80	Facility		$93.59	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $29.23 / $140.38	Professional		$28.41	$29.23	$140.38
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 $92.47 / $115.58 / $173.23	Professional		$92.47	$115.58	$173.23