Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.00 / $2,173.00 / $4,841.00	Facility		$514.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.37 / $308.72 / $529.32	Professional		$201.37	$308.72	$529.32
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 $181.72 / $280.94 / $471.01	Professional		$181.72	$280.94	$471.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $289.67 / $504.00	Professional		$190.34	$289.67	$504.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $341.68 / $543.09	Professional		$193.50	$341.68	$543.09
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.63 / $2,021.63 / $2,021.63	Facility		$2,021.63	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $290.25 / $539.49	Professional		$193.50	$290.25	$539.49
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 $294.70 / $362.34 / $632.53	Professional		$294.70	$362.34	$632.53