Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.38 / $369.38 / $567.57	Professional		$369.38	$369.38	$567.57
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 $343.50 / $419.24 / $603.36	Professional		$343.50	$419.24	$603.36
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 $255.55 / $406.19 / $575.10	Professional		$255.55	$406.19	$575.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $409.38 / $1,307.80	Professional		$2.91	$409.38	$1,307.80
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 $1.98 / $345.86 / $1,569.36	Professional		$1.98	$345.86	$1,569.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.65 / $425.99 / $641.97	Professional		$356.65	$425.99	$641.97