Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,396.00	Facility		$750.00	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $116.68 / $501.00	Professional		$92.67	$116.68	$501.00
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 $107.12 / $156.56 / $237.79	Professional		$107.12	$156.56	$237.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.91 / $108.91 / $108.91	Facility		$108.91	$108.91	$108.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $126.67 / $212.00	Professional		$86.65	$126.67	$212.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $140.51 / $233.68	Professional		$84.07	$140.51	$233.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $108.30 / $962.32 / $962.32	Facility		$108.30	$962.32	$962.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $105.73 / $162.44	Professional		$98.42	$105.73	$162.44
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $151.29 / $244.55	Professional		$102.68	$151.29	$244.55