Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.36 / $2,472.00 / $5,923.00	Facility		$236.36	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $203.55 / $331.39	Professional		$150.66	$203.55	$331.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $207.13 / $354.81	Professional		$138.33	$207.13	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,069.49 / $4,007.23 / $4,285.17	Facility		$3,069.49	$4,007.23	$4,285.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.81 / $224.10 / $365.00	Professional		$145.81	$224.10	$365.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $238.65 / $3,159.35	Professional		$9.00	$238.65	$3,159.35
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,159.35 / $6,537.87 / $6,537.87	Facility		$3,159.35	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $216.96 / $360.23	Professional		$152.22	$216.96	$360.23
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 $175.68 / $237.21 / $410.13	Professional		$175.68	$237.21	$410.13