Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.99 / $1,706.00 / $4,473.00	Facility		$280.99	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.21 / $280.99 / $470.27	Professional		$205.21	$280.99	$470.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.35 / $304.36 / $424.68	Professional		$221.35	$304.36	$424.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $691.66 / $691.66	Facility		$691.66	$691.66	$691.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.55 / $292.27 / $438.42	Professional		$199.55	$292.27	$438.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $316.91 / $688.31	Professional		$168.58	$316.91	$688.31
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $688.31 / $1,637.08 / $1,637.08	Facility		$688.31	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $187.31 / $197.12 / $413.36	Professional		$187.31	$197.12	$413.36
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.22 / $342.92 / $491.65	Professional		$277.22	$342.92	$491.65