Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.75 / $1,639.00 / $4,396.00	Facility		$312.75	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $84.87 / $406.00	Professional		$63.75	$84.87	$406.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $80.66 / $123.31	Professional		$69.70	$80.66	$123.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $101.69 / $153.96	Professional		$71.64	$101.69	$153.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $83.78 / $154.10	Professional		$0.40	$83.78	$154.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $87.27 / $147.96	Professional		$0.30	$87.27	$147.96
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 $87.12 / $114.38 / $166.95	Professional		$87.12	$114.38	$166.95