Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.72 / $1,706.00 / $4,473.00	Facility		$135.72	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $130.72 / $404.33	Professional		$76.22	$130.72	$404.33
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 $88.09 / $128.72 / $156.21	Professional		$88.09	$128.72	$156.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $152.15 / $175.33 / $223.77	Professional	50	$152.15	$175.33	$223.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $391.14 / $391.14	Facility		$391.14	$391.14	$391.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $135.24 / $221.45	Professional		$81.96	$135.24	$221.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $129.80 / $404.59	Professional		$1.44	$129.80	$404.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $106.40 / $606.89	Professional		$1.08	$106.40	$606.89
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 $126.60 / $180.00 / $248.53	Professional		$126.60	$180.00	$248.53