Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.18 / $4,396.00 / $10,300.00	Facility		$762.18	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.39 / $733.87 / $3,731.46	Professional		$663.39	$733.87	$3,731.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $30,452.43	Facility		$3,671.00	$5,123.00	$30,452.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.11 / $890.59 / $1,181.98	Professional		$808.11	$890.59	$1,181.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.18 / $952.73 / $1,371.93	Professional		$658.18	$952.73	$1,371.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $824.48 / $4,244.76	Professional		$7.44	$824.48	$4,244.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $989.75 / $5,788.31	Professional		$5.58	$989.75	$5,788.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.54 / $890.40 / $1,292.80	Professional		$652.54	$890.40	$1,292.80