Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.27 / $1,706.00 / $4,473.00	Facility		$339.27	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $218.41 / $365.40	Professional		$100.90	$218.41	$365.40
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 $106.51 / $142.47 / $286.63	Professional		$106.51	$142.47	$286.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $365.45 / $429.94 / $477.72	Professional	50	$365.45	$429.94	$477.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.46 / $168.46 / $168.46	Facility		$168.46	$168.46	$168.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $214.19 / $443.21	Professional		$96.81	$214.19	$443.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $188.85 / $398.24	Professional		$89.93	$188.85	$398.24
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 $99.92 / $149.88 / $272.67	Professional		$99.92	$149.88	$272.67
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 $205.76 / $277.58 / $607.00	Professional		$205.76	$277.58	$607.00