Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.39 / $1,706.00 / $4,473.00	Facility		$230.39	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $193.60 / $368.12	Professional		$75.56	$193.60	$368.12
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 $75.84 / $88.26 / $194.84	Professional		$75.84	$88.26	$194.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $248.42 / $292.26 / $324.73	Professional	50	$248.42	$292.26	$324.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.87 / $139.87 / $139.87	Facility		$139.87	$139.87	$139.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $181.64 / $318.00	Professional		$75.63	$181.64	$318.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $145.81 / $285.27	Professional		$49.06	$145.81	$285.27
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $330.37 / $330.37 / $330.37	Facility		$330.37	$330.37	$330.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $81.77 / $218.72	Professional		$54.51	$81.77	$218.72
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 $174.42 / $208.46 / $324.58	Professional		$174.42	$208.46	$324.58