Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,939.00 / $11,226.00	Facility		$1,862.00	$3,939.00	$11,226.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,468.84 / $1,644.10 / $8,708.92	Professional		$1,468.84	$1,644.10	$8,708.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,386.00 / $10,250.00 / $16,117.00	Facility		$7,386.00	$10,250.00	$16,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,731.10 / $1,917.28 / $2,739.76	Professional		$1,731.10	$1,917.28	$2,739.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,645.39 / $14,645.39 / $14,645.39	Facility		$14,645.39	$14,645.39	$14,645.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.37 / $2,087.30 / $2,755.23	Professional		$1,393.37	$2,087.30	$2,755.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $1,844.26 / $22,405.71	Professional		$22.40	$1,844.26	$22,405.71
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $20,324.32 / $20,324.32 / $20,324.32	Facility		$20,324.32	$20,324.32	$20,324.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $1,562.83 / $30,553.25	Professional		$16.80	$1,562.83	$30,553.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,305.00 / $4,820.00 / $14,673.23	Facility		$2,305.00	$4,820.00	$14,673.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,458.86 / $1,974.00 / $2,964.86	Professional		$1,458.86	$1,974.00	$2,964.86