Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.22 / $423.97 / $578.65	Professional		$343.22	$423.97	$578.65
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 $411.03 / $533.02 / $698.30	Professional		$411.03	$533.02	$698.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,195.10 / $4,195.10 / $4,195.10	Facility		$4,195.10	$4,195.10	$4,195.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.22 / $438.13 / $611.50	Professional		$338.22	$438.13	$611.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $443.73 / $5,999.66	Professional		$7.94	$443.73	$5,999.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,615.12 / $5,974.27 / $5,974.27	Facility		$4,615.12	$5,974.27	$5,974.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $358.74 / $6,922.68	Professional		$5.40	$358.74	$6,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.93 / $547.42 / $743.60	Professional		$403.93	$547.42	$743.60