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 $132.59 / $146.78 / $176.86	Professional		$132.59	$146.78	$176.86
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 $133.59 / $169.14 / $259.61	Professional		$133.59	$169.14	$259.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,166.50 / $3,166.50 / $3,166.50	Facility		$3,166.50	$3,166.50	$3,166.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $178.25 / $244.46	Professional		$136.41	$178.25	$244.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $167.57 / $4,326.72	Professional		$1.85	$167.57	$4,326.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,328.25 / $5,974.27 / $5,974.27	Facility		$3,328.25	$5,974.27	$5,974.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $113.74 / $4,992.38	Professional		$1.26	$113.74	$4,992.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $3,965.00 / $11,845.00	Facility		$2,415.00	$3,965.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.80 / $184.61 / $241.40	Professional		$127.80	$184.61	$241.40