Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.86 / $2,173.00 / $4,841.00	Facility		$324.86	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.04 / $286.91 / $419.66	Professional		$210.04	$286.91	$419.66
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 $191.83 / $280.95 / $461.16	Professional		$191.83	$280.95	$461.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.42 / $299.36 / $482.70	Professional		$206.42	$299.36	$482.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.47 / $336.90 / $852.32	Professional		$200.47	$336.90	$852.32
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.47 / $300.70 / $505.32	Professional		$200.47	$300.70	$505.32
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 $256.64 / $337.75 / $522.72	Professional		$256.64	$337.75	$522.72