Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.06 / $2,173.00 / $4,730.00	Facility		$489.06	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $256.73 / $758.35	Professional		$164.14	$256.73	$758.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.91 / $303.68 / $739.29	Professional		$186.91	$303.68	$739.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.22 / $1,186.98 / $1,269.31	Facility		$909.22	$1,186.98	$1,269.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $275.83 / $733.06	Professional		$164.86	$275.83	$733.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $263.10 / $1,027.25	Professional		$97.72	$263.10	$1,027.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.86 / $2,096.52 / $2,096.52	Facility		$933.86	$2,096.52	$2,096.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $225.51 / $745.58	Professional		$150.34	$225.51	$745.58
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $442.00 / $753.34	Professional		$180.82	$442.00	$753.34