Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.25 / $2,173.00 / $4,730.00	Facility		$411.25	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $127.22 / $497.00	Professional		$98.64	$127.22	$497.00
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 $129.91 / $169.30 / $242.49	Professional		$129.91	$169.30	$242.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.17 / $89.17 / $89.17	Facility		$89.17	$89.17	$89.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $137.74 / $229.08	Professional		$93.09	$137.74	$229.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $144.60 / $234.00	Professional		$87.50	$144.60	$234.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $93.24 / $336.18 / $336.18	Facility		$93.24	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $123.17 / $173.27	Professional		$115.51	$123.17	$173.27
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 $105.60 / $146.86 / $241.30	Professional		$105.60	$146.86	$241.30