Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.64 / $1,639.00 / $4,396.00	Facility		$247.64	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $194.97 / $331.56	Professional		$99.75	$194.97	$331.56
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 $109.12 / $193.20 / $352.80	Professional		$109.12	$193.20	$352.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.97 / $869.42 / $929.73	Facility		$665.97	$869.42	$929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $194.05 / $370.78	Professional		$104.00	$194.05	$370.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $215.58 / $685.78	Professional		$87.62	$215.58	$685.78
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $685.78 / $1,303.09 / $1,303.09	Facility		$685.78	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $146.75 / $373.94	Professional		$97.83	$146.75	$373.94
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 $185.40 / $240.64 / $386.08	Professional		$185.40	$240.64	$386.08