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 $561.67 / $593.15 / $3,193.72	Professional		$561.67	$593.15	$3,193.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.00 / $8,455.00 / $14,510.00	Facility		$6,093.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.16 / $606.59 / $1,010.11	Professional		$525.16	$606.59	$1,010.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,297.68 / $5,297.68 / $5,297.68	Facility		$5,297.68	$5,297.68	$5,297.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.88 / $710.60 / $1,096.00	Professional		$505.88	$710.60	$1,096.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $689.16 / $6,084.53	Professional		$5.60	$689.16	$6,084.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $601.17 / $8,297.09	Professional		$4.20	$601.17	$8,297.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $4,692.56 / $11,845.00	Facility		$2,625.00	$4,692.56	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.85 / $660.71 / $1,105.02	Professional		$520.85	$660.71	$1,105.02