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 $733.97 / $844.90 / $927.68	Professional		$733.97	$844.90	$927.68
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 $836.32 / $1,011.65 / $1,455.95	Professional		$836.32	$1,011.65	$1,455.95
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 $624.87 / $959.63 / $1,355.49	Professional		$624.87	$959.63	$1,355.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $978.98 / $1,932.43	Professional		$6.62	$978.98	$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 $4.50 / $805.42 / $2,318.91	Professional		$4.50	$805.42	$2,318.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.23 / $1,042.44 / $1,465.18	Professional		$817.23	$1,042.44	$1,465.18