Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.85 / $1,706.00 / $4,473.00	Facility		$94.85	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $71.13 / $129.26	Professional		$42.23	$71.13	$129.26
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 $45.86 / $73.05 / $112.39	Professional		$45.86	$73.05	$112.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Facility		$50.37	$50.37	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $64.63 / $116.80	Professional		$34.65	$64.63	$116.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $64.70 / $130.97	Professional		$33.27	$64.70	$130.97
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $172.92 / $172.92	Facility		$55.73	$172.92	$172.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $39.71 / $83.60	Professional		$36.97	$39.71	$83.60
United Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $1,277.00 / $1,998.00	Facility		$52.21	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $92.47 / $133.87	Professional		$72.36	$92.47	$133.87