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 $151.19 / $152.66 / $682.81	Professional		$151.19	$152.66	$682.81
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 $131.84 / $187.62 / $259.64	Professional		$131.84	$187.62	$259.64
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 $129.60 / $180.36 / $253.86	Professional		$129.60	$180.36	$253.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $168.14 / $4,326.72	Professional		$3.70	$168.14	$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 $2.52 / $125.83 / $4,992.38	Professional		$2.52	$125.83	$4,992.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $4,661.00 / $11,845.00	Facility		$2,625.00	$4,661.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.76 / $178.11 / $252.58	Professional		$138.76	$178.11	$252.58