Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,955.74 / $2,556.00 / $5,923.00	Facility		$1,955.74	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,520.71 / $1,955.74 / $11,197.70	Professional		$1,520.71	$1,955.74	$11,197.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,614.79 / $1,795.74 / $3,274.74	Professional		$1,614.79	$1,795.74	$3,274.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.49 / $2,163.31 / $3,283.51	Professional		$1,224.49	$2,163.31	$3,283.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $1,722.25 / $3,195.73	Professional		$0.08	$1,722.25	$3,195.73
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $1,641.76 / $2,870.42	Professional		$0.06	$1,641.76	$2,870.42
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,285.22 / $2,001.36 / $3,264.27	Professional		$1,285.22	$2,001.36	$3,264.27