Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.40 / $1,386.15 / $1,734.98	Facility		$1,261.40	$1,386.15	$1,734.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.40 / $1,578.84 / $7,445.90	Professional		$1,261.40	$1,578.84	$7,445.90
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 $1,483.56 / $1,772.20 / $2,386.75	Professional		$1,483.56	$1,772.20	$2,386.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.02 / $795.02 / $795.02	Facility		$795.02	$795.02	$795.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.15 / $2,051.03 / $3,122.97	Professional		$1,386.15	$2,051.03	$3,122.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $1,548.50 / $2,623.06	Professional		$40.57	$1,548.50	$2,623.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,584.18 / $3,584.18 / $3,584.18	Facility		$3,584.18	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $1,285.52 / $2,571.63	Professional		$27.60	$1,285.52	$2,571.63
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 $1,630.02 / $2,136.60 / $3,140.01	Professional		$1,630.02	$2,136.60	$3,140.01