Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.75 / $1,639.00 / $4,473.00	Facility		$409.75	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.47 / $437.25 / $786.10	Professional		$308.47	$437.25	$786.10
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 $347.93 / $392.23 / $583.65	Professional		$347.93	$392.23	$583.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.36 / $513.59 / $796.06	Professional		$337.36	$513.59	$796.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $477.56 / $1,282.40	Professional		$4.00	$477.56	$1,282.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,163.08 / $3,163.08 / $3,163.08	Facility		$3,163.08	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $454.08 / $1,955.31	Professional		$3.00	$454.08	$1,955.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.90 / $629.70 / $900.90	Professional		$471.90	$629.70	$900.90