Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $3,959.00 / $10,300.00	Facility		$50.47	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $70.20 / $93.18	Professional		$40.86	$70.20	$93.18
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 $44.34 / $71.73 / $110.37	Professional		$44.34	$71.73	$110.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $62.56 / $115.10	Professional		$33.77	$62.56	$115.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $62.37 / $130.16	Professional		$0.47	$62.37	$130.16
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $38.40 / $72.05	Professional		$35.64	$38.40	$72.05
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 $69.65 / $86.66 / $126.07	Professional		$69.65	$86.66	$126.07