Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.52 / $1,706.00 / $4,473.00	Facility		$70.52	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $70.52 / $287.02	Professional		$58.05	$70.52	$287.02
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 $59.99 / $75.42 / $110.32	Professional		$59.99	$75.42	$110.32
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 $53.64 / $77.73 / $108.85	Professional		$53.64	$77.73	$108.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $78.38 / $172.66	Professional		$44.65	$78.38	$172.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $268.79 / $268.79	Facility		$143.88	$268.79	$268.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $54.56 / $106.52	Professional		$49.61	$54.56	$106.52
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 $69.30 / $90.65 / $131.22	Professional		$69.30	$90.65	$131.22