Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $4,473.00	Facility		$750.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $111.34 / $178.19	Professional		$97.83	$111.34	$178.19
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 $96.81 / $118.63 / $195.62	Professional		$96.81	$118.63	$195.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.64 / $691.45 / $739.41	Facility		$529.64	$691.45	$739.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $134.69 / $200.41	Professional		$100.42	$134.69	$200.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $124.76 / $623.82	Professional		$2.08	$124.76	$623.82
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $519.85 / $1,036.17 / $1,036.17	Facility		$519.85	$1,036.17	$1,036.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $100.41 / $779.78	Professional		$1.56	$100.41	$779.78
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,891.00 / $6,244.00	Facility		$721.00	$1,891.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $129.21 / $206.25	Professional		$99.52	$129.21	$206.25