Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,473.00	Facility		$750.00	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.33 / $857.61 / $2,870.91	Professional		$363.33	$857.61	$2,870.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $835.26 / $3,648.76	Professional		$395.00	$835.26	$3,648.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.51 / $1,005.90 / $1,075.67	Facility		$770.51	$1,005.90	$1,075.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.93 / $938.71 / $3,354.90	Professional		$379.93	$938.71	$3,354.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $777.02 / $2,975.42	Professional		$266.00	$777.02	$2,975.42
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $829.31 / $3,584.18 / $3,584.18	Facility		$829.31	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $359.29 / $538.94 / $1,243.97	Professional		$359.29	$538.94	$1,243.97
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,940.00 / $7,221.00	Facility		$888.00	$2,940.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.58 / $1,464.48 / $3,980.76	Professional		$893.58	$1,464.48	$3,980.76