Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.95 / $2,150.00 / $4,730.00	Facility		$280.95	$2,150.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $217.50 / $376.43	Professional		$123.43	$217.50	$376.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.85 / $212.05 / $403.20	Professional		$116.85	$212.05	$403.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.04 / $255.93 / $273.68	Facility		$196.04	$255.93	$273.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $228.42 / $421.42	Professional		$126.44	$228.42	$421.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $224.54 / $413.69	Professional		$80.00	$224.54	$413.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $235.90 / $2,021.63 / $2,021.63	Facility		$235.90	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.31 / $192.47 / $353.85	Professional		$128.31	$192.47	$353.85
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 $208.71 / $278.57 / $477.54	Professional		$208.71	$278.57	$477.54