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 $629.24 / $677.53 / $3,577.13	Professional		$629.24	$677.53	$3,577.13
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 $754.53 / $822.12 / $1,130.42	Professional		$754.53	$822.12	$1,130.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.02 / $841.75 / $1,242.14	Professional		$586.02	$841.75	$1,242.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $760.25 / $1,889.33	Professional		$4.80	$760.25	$1,889.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $669.69 / $2,576.36	Professional		$3.60	$669.69	$2,576.36
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 $604.32 / $789.30 / $1,217.51	Professional		$604.32	$789.30	$1,217.51