Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $1,079.00 / $1,235.00	Facility		$1,079.00	$1,079.00	$1,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,079.00 / $1,105.00	Professional		$1,053.00	$1,079.00	$1,105.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $809.51 / $809.51	Facility		$0.03	$809.51	$809.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,184.22 / $1,184.22 / $1,184.22	Professional		$1,184.22	$1,184.22	$1,184.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.75 / $1,543.75 / $1,543.75	Professional		$1,543.75	$1,543.75	$1,543.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $894.65 / $894.65 / $894.65	Facility		$894.65	$894.65	$894.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,235.00	Professional		$1,235.00	$1,235.00	$1,235.00