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 $642.88 / $945.71 / $3,959.00	Professional		$642.88	$945.71	$3,959.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.54 / $668.60 / $1,129.41	Professional		$648.54	$668.60	$1,129.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,669.80 / $1,669.80 / $1,669.80	Facility		$1,669.80	$1,669.80	$1,669.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $845.16 / $1,368.88	Professional		$592.91	$845.16	$1,368.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $986.32 / $2,017.58	Professional		$16.55	$986.32	$2,017.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,167.63 / $4,167.63 / $4,167.63	Facility		$4,167.63	$4,167.63	$4,167.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $811.53 / $2,718.69	Professional		$8.27	$811.53	$2,718.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $608.38 / $788.81 / $1,386.94	Professional		$608.38	$788.81	$1,386.94