Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,730.00	Facility		$950.00	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.60 / $414.56 / $1,638.42	Professional		$289.60	$414.56	$1,638.42
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 $359.16 / $383.79 / $550.85	Professional		$359.16	$383.79	$550.85
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 $300.79 / $502.00 / $825.00	Professional		$300.79	$502.00	$825.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $495.78 / $893.93	Professional		$3.44	$495.78	$893.93
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 $2.34 / $456.39 / $1,162.26	Professional		$2.34	$456.39	$1,162.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.26 / $522.22 / $808.65	Professional		$404.26	$522.22	$808.65