Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.78 / $1,706.00 / $4,473.00	Facility		$182.78	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.79 / $182.78 / $744.71	Professional		$146.79	$182.78	$744.71
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 $148.38 / $195.55 / $286.07	Professional		$148.38	$195.55	$286.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $85.76 / $85.76	Facility		$85.76	$85.76	$85.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $183.34 / $274.17	Professional		$119.31	$183.34	$274.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $171.37 / $290.12	Professional		$89.91	$171.37	$290.12
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $962.32 / $962.32	Facility		$94.64	$962.32	$962.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $135.31 / $188.67	Professional		$125.78	$135.31	$188.67
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.10 / $211.26 / $306.82	Professional		$170.10	$211.26	$306.82