Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $1,706.00 / $4,473.00	Facility		$88.18	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $83.01 / $192.37	Professional		$35.49	$83.01	$192.37
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 $34.07 / $37.81 / $70.20	Professional		$34.07	$37.81	$70.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $61.60 / $61.60	Facility		$61.60	$61.60	$61.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $74.43 / $148.51	Professional		$41.50	$74.43	$148.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $61.97 / $140.97	Professional		$0.64	$61.97	$140.97
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $49.19 / $128.93	Professional		$0.48	$49.19	$128.93
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 $58.49 / $85.20 / $144.88	Professional		$58.49	$85.20	$144.88