Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,841.00	Facility		$950.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.22 / $704.87 / $1,125.05	Professional		$572.22	$704.87	$1,125.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,647.00 / $5,379.00 / $8,190.00	Facility		$3,647.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.69 / $757.57 / $1,218.99	Professional		$570.69	$757.57	$1,218.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.47 / $5,079.02 / $5,431.31	Facility		$3,890.47	$5,079.02	$5,431.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.13 / $704.87 / $1,128.63	Professional		$477.13	$704.87	$1,128.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $736.91 / $4,803.52	Professional		$6.40	$736.91	$4,803.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,002.93 / $6,537.87 / $6,537.87	Facility		$4,002.93	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $642.53 / $6,004.40	Professional		$4.80	$642.53	$6,004.40
United Facility/Professional Facility Modifier Low / Median / High Price $704.87 / $3,527.75 / $10,407.00	Facility		$704.87	$3,527.75	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.66 / $752.80 / $1,242.13	Professional		$578.66	$752.80	$1,242.13