Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.26 / $553.41 / $2,872.76	Professional		$520.26	$553.41	$2,872.76
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 $528.15 / $640.96 / $956.91	Professional		$528.15	$640.96	$956.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,467.17 / $1,467.17	Facility		$1,467.17	$1,467.17	$1,467.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.60 / $610.34 / $873.80	Professional		$467.60	$610.34	$873.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $665.24 / $1,932.43	Professional		$12.17	$665.24	$1,932.43
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.94 / $3,584.18 / $3,584.18	Facility		$1,545.94	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $526.29 / $2,318.91	Professional		$8.27	$526.29	$2,318.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,709.00 / $3,472.00 / $10,407.00	Facility		$1,709.00	$3,472.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.30 / $626.72 / $941.20	Professional		$501.30	$626.72	$941.20