Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $3,042.00 / $6,953.00	Facility		$2,150.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,911.64 / $2,151.34 / $11,175.80	Professional		$1,911.64	$2,151.34	$11,175.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $14,000.83	Facility		$4,452.00	$5,379.00	$14,000.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,325.36 / $2,522.41 / $3,468.32	Professional		$2,325.36	$2,522.41	$3,468.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,773.51 / $2,542.83 / $3,813.09	Professional		$1,773.51	$2,542.83	$3,813.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $2,325.65 / $4,403.22	Professional		$33.60	$2,325.65	$4,403.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $2,724.63 / $6,004.40	Professional		$25.20	$2,724.63	$6,004.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,789.02 / $2,440.02 / $4,088.42	Professional		$1,789.02	$2,440.02	$4,088.42