Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $2,472.00 / $4,730.00	Facility		$566.00	$2,472.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $1,163.24 / $1,749.98	Professional		$306.45	$1,163.24	$1,749.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,886.00 / $6,164.00 / $9,964.00	Facility		$4,886.00	$6,164.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.92 / $1,127.80 / $2,158.66	Professional		$372.92	$1,127.80	$2,158.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,671.54 / $1,671.54 / $1,671.54	Facility		$1,671.54	$1,671.54	$1,671.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.97 / $1,113.33 / $2,088.31	Professional		$272.97	$1,113.33	$2,088.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $1,234.74 / $2,256.60	Professional		$190.00	$1,234.74	$2,256.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.46 / $3,478.55 / $3,478.55	Facility		$1,695.46	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $287.77 / $431.66 / $2,004.92	Professional		$287.77	$431.66	$2,004.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,644.00 / $9,500.00	Facility		$1,642.00	$3,644.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.46 / $1,617.68 / $2,595.40	Professional		$1,074.46	$1,617.68	$2,595.40