Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.01 / $833.81 / $4,220.60	Professional		$818.01	$833.81	$4,220.60
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 $777.07 / $943.59 / $1,358.00	Professional		$777.07	$943.59	$1,358.00
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 $643.58 / $905.02 / $1,271.08	Professional		$643.58	$905.02	$1,271.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $929.67 / $1,569.36	Professional		$17.64	$929.67	$1,569.36
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 $12.00 / $770.55 / $1,569.36	Professional		$12.00	$770.55	$1,569.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,000.00 / $7,138.00	Facility		$1,282.00	$3,000.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.39 / $925.20 / $1,410.89	Professional		$771.39	$925.20	$1,410.89