Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $1,706.00 / $4,473.00	Facility		$189.91	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $166.36 / $203.04	Professional		$130.38	$166.36	$203.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $143.15 / $191.57	Professional		$133.37	$143.15	$191.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $185.63 / $218.38 / $242.65	Professional	50	$185.63	$218.38	$242.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $91.21 / $91.21	Facility		$91.21	$91.21	$91.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $178.00 / $287.26	Professional		$124.72	$178.00	$287.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $169.15 / $244.11	Professional		$88.01	$169.15	$244.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $146.69 / $193.74	Professional		$129.16	$146.69	$193.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $163.00 / $280.98	Professional		$131.94	$163.00	$280.98