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 / $4,730.00	Facility		$950.00	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.09 / $316.42 / $886.64	Professional		$166.09	$316.42	$886.64
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 $169.85 / $328.60 / $594.21	Professional		$169.85	$328.60	$594.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.94 / $1,009.94 / $1,009.94	Facility		$1,009.94	$1,009.94	$1,009.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.49 / $279.56 / $540.75	Professional		$143.49	$279.56	$540.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $306.70 / $1,046.24	Professional		$131.94	$306.70	$1,046.24
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.24 / $2,263.96 / $2,263.96	Facility		$1,046.24	$2,263.96	$2,263.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $160.91 / $542.37	Professional		$146.60	$160.91	$542.37
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.45 / $435.01 / $647.01	Professional		$359.45	$435.01	$647.01