Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $1,706.00 / $4,473.00	Facility		$111.69	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $106.05 / $176.29	Professional		$47.82	$106.05	$176.29
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 $50.45 / $57.65 / $96.16	Professional		$50.45	$57.65	$96.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $68.75 / $68.75	Facility		$68.75	$68.75	$68.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $95.50 / $164.78	Professional		$40.97	$95.50	$164.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $78.66 / $172.01	Professional		$38.20	$78.66	$172.01
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $71.51 / $777.59 / $777.59	Facility		$71.51	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $46.07 / $107.27	Professional		$41.14	$46.07	$107.27
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 $101.20 / $129.60 / $197.64	Professional		$101.20	$129.60	$197.64