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 $571.32 / $637.96 / $3,437.64	Professional		$571.32	$637.96	$3,437.64
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 $688.34 / $747.10 / $1,086.06	Professional		$688.34	$747.10	$1,086.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.82 / $773.73 / $1,179.88	Professional		$538.82	$773.73	$1,179.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $738.28 / $1,125.86	Professional		$11.60	$738.28	$1,125.86
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $646.36 / $1,367.18	Professional		$8.69	$646.36	$1,367.18
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 $534.37 / $706.04 / $1,092.82	Professional		$534.37	$706.04	$1,092.82