Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.68 / $2,173.00 / $4,841.00	Facility		$169.68	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $146.68 / $227.97	Professional		$101.89	$146.68	$227.97
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 $103.05 / $153.97 / $251.73	Professional		$103.05	$153.97	$251.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $170.50 / $182.33	Facility		$130.60	$170.50	$182.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $162.86 / $281.26	Professional		$100.48	$162.86	$281.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $157.19 / $246.14	Professional		$78.59	$157.19	$246.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $256.64 / $256.64	Facility		$135.22	$256.64	$256.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $147.38 / $202.83	Professional		$98.25	$147.38	$202.83
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $2,116.00	Facility		$200.00	$1,277.00	$2,116.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $179.60 / $288.05	Professional		$138.90	$179.60	$288.05