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 $450.49 / $521.21 / $2,532.48	Professional		$450.49	$521.21	$2,532.48
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 $519.70 / $600.04 / $834.92	Professional		$519.70	$600.04	$834.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.17 / $973.17 / $973.17	Facility		$973.17	$973.17	$973.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.23 / $603.50 / $905.25	Professional		$348.23	$603.50	$905.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $635.12 / $1,089.65	Professional		$7.20	$635.12	$1,089.65
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.16 / $2,158.16 / $2,158.16	Facility		$2,158.16	$2,158.16	$2,158.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $529.27 / $1,485.89	Professional		$5.40	$529.27	$1,485.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,331.00 / $7,138.00	Facility		$1,282.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.58 / $528.36 / $899.64	Professional		$397.58	$528.36	$899.64