Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,599.00 / $5,923.00	Facility		$1,375.00	$2,599.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $559.86 / $1,156.74	Professional		$477.63	$559.86	$1,156.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.00 / $8,455.00 / $14,510.00	Facility		$6,093.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.73 / $683.46 / $953.56	Professional		$615.73	$683.46	$953.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,693.93 / $3,693.93 / $3,693.93	Facility		$3,693.93	$3,693.93	$3,693.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.25 / $712.53 / $1,045.89	Professional		$507.25	$712.53	$1,045.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $648.91 / $5,378.18	Professional		$6.40	$648.91	$5,378.18
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $567.03 / $7,333.88	Professional		$4.80	$567.03	$7,333.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $4,776.00 / $11,845.00	Facility		$2,625.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.78 / $655.79 / $1,042.65	Professional		$505.78	$655.79	$1,042.65