Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.01 / $3,959.00 / $10,300.00	Facility		$370.01	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $370.01 / $481.84	Professional		$334.78	$370.01	$481.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,352.37	Facility		$3,671.00	$5,123.00	$8,352.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.29 / $415.69 / $681.69	Professional		$243.29	$415.69	$681.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.83 / $458.69 / $678.22	Professional		$353.83	$458.69	$678.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $17.60 / $425.00	Professional		$15.40	$17.60	$425.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
United Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $2,578.00 / $6,471.00	Facility		$776.00	$2,578.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.66 / $420.03 / $664.06	Professional		$330.66	$420.03	$664.06