Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $1,639.00 / $4,473.00	Facility		$122.40	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $99.13 / $168.12	Professional		$52.33	$99.13	$168.12
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 $56.85 / $95.88 / $153.44	Professional		$56.85	$95.88	$153.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $82.36 / $157.07	Professional		$42.51	$82.36	$157.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $81.27 / $169.84	Professional		$41.80	$81.27	$169.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $268.79 / $268.79	Facility		$71.15	$268.79	$268.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $50.18 / $106.73	Professional		$46.44	$50.18	$106.73
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $132.66 / $184.27	Professional		$94.85	$132.66	$184.27