Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.02 / $767.29 / $3,710.05	Professional		$676.02	$767.29	$3,710.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,339.00 / $1,339.00 / $1,339.00	Facility		$1,339.00	$1,339.00	$1,339.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.10 / $942.02 / $1,235.75	Professional		$742.10	$942.02	$1,235.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.16 / $883.78 / $1,330.19	Professional		$629.16	$883.78	$1,330.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $716.31 / $1,096.33	Professional		$7.42	$716.31	$1,096.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $633.72 / $950.58	Professional		$6.36	$633.72	$950.58
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.16 / $934.16 / $1,361.58	Professional		$660.16	$934.16	$1,361.58