Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $159.87 / $280.45	Professional		$150.80	$159.87	$280.45
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 $143.96 / $174.78 / $251.54	Professional		$143.96	$174.78	$251.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.94 / $1,009.94 / $1,009.94	Facility		$1,009.94	$1,009.94	$1,009.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $189.06 / $276.97	Professional		$124.51	$189.06	$276.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $190.00 / $1,307.80	Professional		$2.12	$190.00	$1,307.80
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.24 / $2,263.96 / $2,263.96	Facility		$1,046.24	$2,263.96	$2,263.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $143.82 / $1,569.36	Professional		$1.44	$143.82	$1,569.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,331.00 / $7,138.00	Facility		$1,282.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $189.68 / $260.45	Professional		$149.72	$189.68	$260.45