Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.09 / $1,639.00 / $4,396.00	Facility		$136.09	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $100.70 / $215.77	Professional		$45.60	$100.70	$215.77
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 $45.86 / $101.80 / $196.05	Professional		$45.86	$101.80	$196.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $131.07 / $140.16	Facility		$100.40	$131.07	$140.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $99.01 / $208.00	Professional		$46.57	$99.01	$208.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $111.67 / $217.14	Professional		$39.94	$111.67	$217.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $124.08 / $1,007.60 / $1,007.60	Facility		$124.08	$1,007.60	$1,007.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $66.56 / $186.12	Professional		$44.38	$66.56	$186.12
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,514.00 / $4,661.00	Facility		$408.00	$1,514.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $137.13 / $228.81	Professional		$98.78	$137.13	$228.81