Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.10 / $746.10 / $2,986.87	Professional		$746.10	$746.10	$2,986.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.15 / $844.52 / $1,215.42	Professional		$698.15	$844.52	$1,215.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.10 / $2,653.10 / $2,653.10	Facility		$2,653.10	$2,653.10	$2,653.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.76 / $829.56 / $1,217.35	Professional		$614.76	$829.56	$1,217.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $835.73 / $3,562.89	Professional		$12.35	$835.73	$3,562.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,850.31 / $5,618.32 / $5,618.32	Facility		$2,850.31	$5,618.32	$5,618.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $689.67 / $4,275.47	Professional		$8.40	$689.67	$4,275.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.94 / $846.65 / $1,260.23	Professional		$658.94	$846.65	$1,260.23