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 $22.47 / $27.74 / $46.48	Professional		$22.47	$27.74	$46.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $35.83 / $50.00	Professional		$27.87	$35.83	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.52 / $137.52 / $137.52	Facility		$137.52	$137.52	$137.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $43.69 / $53.19	Professional		$18.67	$43.69	$53.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $158.27 / $350.00	Professional		$45.08	$158.27	$350.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $40.98 / $143.88 / $268.79	Facility		$40.98	$143.88	$268.79
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 $23.04 / $31.23 / $57.51	Professional		$23.04	$31.23	$57.51