Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $78.89 / $447.10	Professional		$77.23	$78.89	$447.10
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 $78.23 / $103.92 / $136.19	Professional		$78.23	$103.92	$136.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $166.74 / $166.74	Facility		$166.74	$166.74	$166.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $105.57 / $154.00	Professional		$86.63	$105.57	$154.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $112.92 / $228.74	Professional		$2.21	$112.92	$228.74
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $175.95 / $326.24 / $326.24	Facility		$175.95	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $77.20 / $263.93	Professional		$1.50	$77.20	$263.93
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $115.49 / $161.71	Professional		$87.84	$115.49	$161.71