Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,642.00 / $5,471.00 / $10,300.00	Facility		$2,642.00	$5,471.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.16 / $634.16 / $907.80	Professional		$634.16	$634.16	$907.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $801.51 / $1,257.69	Professional		$209.94	$801.51	$1,257.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,542.00 / $12,945.91 / $18,807.00	Facility		$4,542.00	$12,945.91	$18,807.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $425.00 / $14,750.58	Professional		$200.00	$425.00	$14,750.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $13,409.62 / $19,845.41 / $19,845.41	Facility		$13,409.62	$19,845.41	$19,845.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,163.00 / $6,491.00 / $14,434.00	Facility		$3,163.00	$6,491.00	$14,434.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.10 / $808.37 / $1,124.45	Professional		$618.10	$808.37	$1,124.45