Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.16 / $1,639.00 / $4,396.00	Facility		$431.16	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.47 / $368.56 / $608.51	Professional		$201.47	$368.56	$608.51
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 $216.26 / $376.09 / $641.07	Professional		$216.26	$376.09	$641.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $672.33 / $718.96	Facility		$515.00	$672.33	$718.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.09 / $386.99 / $696.18	Professional		$210.09	$386.99	$696.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.12 / $416.77 / $707.21	Professional		$165.12	$416.77	$707.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $533.04 / $1,007.60 / $1,007.60	Facility		$533.04	$1,007.60	$1,007.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $275.20 / $671.40	Professional		$183.47	$275.20	$671.40
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 $378.60 / $497.24 / $743.60	Professional		$378.60	$497.24	$743.60