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 $178.07 / $1,649.83 / $2,406.48	Professional		$178.07	$1,649.83	$2,406.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $510.00	Facility		$510.00	$510.00	$510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.93 / $1,817.63 / $3,288.70	Professional		$192.93	$1,817.63	$3,288.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $1,391.97 / $2,832.00	Professional		$164.11	$1,391.97	$2,832.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $274.64 / $2,797.34	Professional		$4.67	$274.64	$2,797.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $156.94 / $2,655.71	Professional		$2.40	$156.94	$2,655.71
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,877.26 / $2,270.10 / $3,405.15	Professional		$1,877.26	$2,270.10	$3,405.15