Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.28 / $1,639.00 / $4,473.00	Facility		$342.28	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.96 / $312.04 / $467.00	Professional		$216.96	$312.04	$467.00
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 $217.88 / $319.07 / $530.55	Professional		$217.88	$319.07	$530.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $902.97 / $965.60	Facility		$691.66	$902.97	$965.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.08 / $344.59 / $559.35	Professional		$220.08	$344.59	$559.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $334.89 / $688.31	Professional		$80.00	$334.89	$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 $204.50 / $306.75 / $502.34	Professional		$204.50	$306.75	$502.34
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $393.61 / $638.21	Professional		$298.52	$393.61	$638.21