Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.50 / $1,639.00 / $4,396.00	Facility		$730.50	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $83.49 / $382.63	Professional		$40.92	$83.49	$382.63
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 $46.21 / $52.81 / $94.75	Professional		$46.21	$52.81	$94.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $82.70 / $82.70	Facility		$82.70	$82.70	$82.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $70.80 / $145.59	Professional		$41.36	$70.80	$145.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $92.46 / $216.00	Professional		$41.45	$92.46	$216.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $83.07 / $336.18 / $336.18	Facility		$83.07	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $63.57 / $126.97	Professional		$57.79	$63.57	$126.97
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 $81.02 / $99.84 / $174.08	Professional		$81.02	$99.84	$174.08