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 $577.41 / $728.64 / $1,098.45	Professional		$577.41	$728.64	$1,098.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,474.00 / $4,589.00 / $6,006.00	Facility		$3,474.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.83 / $761.11 / $1,225.22	Professional		$570.83	$761.11	$1,225.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,773.05 / $2,314.71 / $2,475.27	Facility		$1,773.05	$2,314.71	$2,475.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.67 / $755.67 / $1,202.26	Professional		$509.67	$755.67	$1,202.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $753.28 / $2,185.57	Professional		$19.20	$753.28	$2,185.57
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,821.31 / $3,900.25 / $3,900.25	Facility		$1,821.31	$3,900.25	$3,900.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $644.88 / $2,731.97	Professional		$14.40	$644.88	$2,731.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,097.00 / $2,661.00 / $9,042.00	Facility		$1,097.00	$2,661.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.04 / $720.55 / $1,225.34	Professional		$564.04	$720.55	$1,225.34