Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.62 / $546.62 / $553.90	Professional		$546.62	$546.62	$553.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.78 / $613.35 / $842.23	Professional		$480.78	$613.35	$842.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,055.71 / $2,055.71 / $2,055.71	Facility		$2,055.71	$2,055.71	$2,055.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,403.15 / $2,403.15 / $2,403.15	Professional		$2,403.15	$2,403.15	$2,403.15
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,184.67 / $4,022.08 / $4,022.08	Facility		$2,184.67	$4,022.08	$4,022.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.04 / $696.28 / $1,009.34	Professional		$533.04	$696.28	$1,009.34