Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.56 / $2,173.00 / $4,841.00	Facility		$227.56	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $197.74 / $358.72	Professional		$125.92	$197.74	$358.72
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 $130.05 / $200.08 / $338.25	Professional		$130.05	$200.08	$338.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.21 / $203.94 / $218.08	Facility		$156.21	$203.94	$218.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $212.95 / $352.72	Professional		$132.32	$212.95	$352.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $191.83 / $313.01	Professional		$80.00	$191.83	$313.01
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $3,584.18 / $3,584.18	Facility		$163.69	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $182.12 / $245.54	Professional		$121.41	$182.12	$245.54
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 $179.80 / $241.80 / $402.77	Professional		$179.80	$241.80	$402.77