Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.00 / $2,173.00 / $4,730.00	Facility		$1,937.00	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.12 / $531.36 / $2,309.00	Professional		$453.12	$531.36	$2,309.00
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 $587.40 / $622.64 / $875.19	Professional		$587.40	$622.64	$875.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.00 / $640.04 / $936.17	Professional		$472.00	$640.04	$936.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $585.11 / $892.29	Professional		$4.80	$585.11	$892.29
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $519.27 / $1,162.26	Professional		$3.60	$519.27	$1,162.26
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 $433.58 / $563.65 / $895.21	Professional		$433.58	$563.65	$895.21