Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.85 / $2,173.00 / $4,841.00	Facility		$218.85	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $206.10 / $667.37	Professional		$129.63	$206.10	$667.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $202.36 / $321.55	Professional		$126.78	$202.36	$321.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $163.69 / $163.69	Facility		$163.69	$163.69	$163.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.28 / $190.28 / $317.14	Professional		$110.28	$190.28	$317.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $201.43 / $331.15	Professional		$99.00	$201.43	$331.15
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $171.75 / $1,637.08 / $1,637.08	Facility		$171.75	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $125.57 / $257.63	Professional		$119.31	$125.57	$257.63
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.65 / $236.37 / $358.52	Professional		$196.65	$236.37	$358.52