Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.15 / $1,207.70 / $5,677.85	Professional		$1,039.15	$1,207.70	$5,677.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $16,907.36	Facility		$3,671.00	$5,123.00	$16,907.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.74 / $1,248.46 / $1,871.10	Professional		$1,124.74	$1,248.46	$1,871.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.78 / $1,260.78 / $1,977.58	Professional		$834.78	$1,260.78	$1,977.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $1,307.47 / $4,244.76	Professional		$11.20	$1,307.47	$4,244.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $1,709.97 / $5,788.31	Professional		$8.40	$1,709.97	$5,788.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.39 / $1,195.09 / $1,930.35	Professional		$914.39	$1,195.09	$1,930.35