Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $2,173.00 / $4,841.00	Facility		$31.79	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $31.12 / $57.95	Professional		$21.36	$31.12	$57.95
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 $21.61 / $28.04 / $42.89	Professional		$21.61	$28.04	$42.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $14.64 / $14.64	Facility		$14.64	$14.64	$14.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $39.72 / $61.56	Professional		$25.30	$39.72	$61.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $29.06 / $55.34	Professional		$0.71	$29.06	$55.34
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $331.45 / $331.45 / $331.45	Facility		$331.45	$331.45	$331.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $25.23 / $49.71	Professional		$0.48	$25.23	$49.71
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 $30.36 / $42.48 / $62.56	Professional		$30.36	$42.48	$62.56