Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $118.26 / $161.19	Professional		$101.06	$118.26	$161.19
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 $110.53 / $133.69 / $192.42	Professional		$110.53	$133.69	$192.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.45 / $833.45 / $833.45	Facility		$833.45	$833.45	$833.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $121.72 / $177.39	Professional		$93.83	$121.72	$177.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $144.13 / $1,321.59	Professional		$82.36	$144.13	$1,321.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $881.06 / $1,905.85 / $1,905.85	Facility		$881.06	$1,905.85	$1,905.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $93.34 / $1,321.59	Professional		$82.36	$93.34	$1,321.59
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $145.32 / $211.39	Professional		$106.61	$145.32	$211.39