Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.50 / $1,706.00 / $4,396.00	Facility		$426.50	$1,706.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $87.79 / $143.77	Professional		$64.27	$87.79	$143.77
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 $69.73 / $96.67 / $134.41	Professional		$69.73	$96.67	$134.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $44.24 / $44.24	Facility		$44.24	$44.24	$44.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $92.23 / $135.74	Professional		$53.06	$92.23	$135.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $84.59 / $150.94	Professional		$44.16	$84.59	$150.94
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $268.79 / $268.79	Facility		$49.07	$268.79	$268.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $60.97 / $85.56	Professional		$55.29	$60.97	$85.56
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $105.55 / $151.55	Professional		$85.05	$105.55	$151.55