Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.40 / $1,639.00 / $4,473.00	Facility		$179.40	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $112.60 / $275.47	Professional		$61.19	$112.60	$275.47
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 $59.02 / $113.42 / $258.55	Professional		$59.02	$113.42	$258.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $168.39 / $180.07	Facility		$128.97	$168.39	$180.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $133.29 / $278.08	Professional		$65.26	$133.29	$278.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $125.96 / $266.82	Professional		$51.25	$125.96	$266.82
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $1,303.09 / $1,303.09	Facility		$152.47	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $90.89 / $228.71	Professional		$60.59	$90.89	$228.71
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $165.00 / $277.86	Professional		$118.77	$165.00	$277.86