Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,959.00 / $6,953.00	Facility		$1,642.00	$3,959.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.41 / $1,428.11 / $7,416.46	Professional		$1,278.41	$1,428.11	$7,416.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $14,000.83	Facility		$3,877.00	$5,379.00	$14,000.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,496.60 / $1,613.66 / $2,307.41	Professional		$1,496.60	$1,613.66	$2,307.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,152.85 / $1,676.51 / $2,457.05	Professional		$1,152.85	$1,676.51	$2,457.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $1,520.80 / $4,403.22	Professional		$19.20	$1,520.80	$4,403.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $1,862.43 / $6,004.40	Professional		$14.40	$1,862.43	$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 $1,201.52 / $1,552.99 / $2,568.51	Professional		$1,201.52	$1,552.99	$2,568.51