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 $356.32 / $433.75 / $695.67	Professional		$356.32	$433.75	$695.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.30 / $462.72 / $752.31	Professional		$365.30	$462.72	$752.31
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 $300.00 / $464.53 / $719.93	Professional		$300.00	$464.53	$719.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $360.26 / $569.21	Professional		$2.64	$360.26	$569.21
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 $1.98 / $360.26 / $540.39	Professional		$1.98	$360.26	$540.39
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,998.00	Facility		$200.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.24 / $460.18 / $747.18	Professional		$353.24	$460.18	$747.18