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 $839.26 / $931.10 / $4,932.59	Professional		$839.26	$931.10	$4,932.59
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 $731.97 / $889.78 / $1,409.00	Professional		$731.97	$889.78	$1,409.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.40 / $2,059.40 / $2,059.40	Facility		$2,059.40	$2,059.40	$2,059.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.71 / $1,059.70 / $1,555.96	Professional		$685.71	$1,059.70	$1,555.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $1,049.99 / $2,229.21	Professional		$6.80	$1,049.99	$2,229.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,046.03 / $4,046.03 / $4,046.03	Facility		$4,046.03	$4,046.03	$4,046.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $953.30 / $3,039.84	Professional		$5.09	$953.30	$3,039.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.26 / $985.61 / $1,720.55	Professional		$818.26	$985.61	$1,720.55