Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.43 / $2,173.00 / $4,841.00	Facility		$492.43	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.05 / $413.77 / $1,770.44	Professional		$309.05	$413.77	$1,770.44
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 $337.33 / $374.43 / $551.19	Professional		$337.33	$374.43	$551.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.85 / $300.85 / $300.85	Facility		$300.85	$300.85	$300.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.38 / $516.47 / $787.88	Professional		$326.38	$516.47	$787.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $418.77 / $679.64	Professional		$3.53	$418.77	$679.64
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 $2.40 / $460.78 / $707.96	Professional		$2.40	$460.78	$707.96
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 $414.00 / $531.13 / $869.43	Professional		$414.00	$531.13	$869.43