Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,473.00	Facility		$750.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $132.02 / $165.94	Professional		$110.52	$132.02	$165.94
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 $70.00 / $133.77 / $213.29	Professional		$70.00	$133.77	$213.29
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 $106.96 / $145.22 / $257.12	Professional		$106.96	$145.22	$257.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.48 / $425.00	Professional		$0.42	$0.48	$425.00
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 $0.36 / $0.36 / $0.36	Professional		$0.36	$0.36	$0.36
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 $106.86 / $140.38 / $230.71	Professional		$106.86	$140.38	$230.71