Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.37 / $1,639.00 / $4,473.00	Facility		$328.37	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.83 / $241.18 / $487.30	Professional		$178.83	$241.18	$487.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.36 / $262.64 / $475.77	Professional		$153.36	$262.64	$475.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.98 / $336.79 / $360.15	Facility		$257.98	$336.79	$360.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $262.23 / $476.14	Professional		$144.22	$262.23	$476.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $282.51 / $461.85	Professional		$80.00	$282.51	$461.85
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $282.51 / $1,637.08 / $1,637.08	Facility		$282.51	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $286.20 / $423.77	Professional		$187.82	$286.20	$423.77
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 $205.12 / $304.95 / $532.37	Professional		$205.12	$304.95	$532.37