Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.63 / $2,173.00 / $4,841.00	Facility		$1,777.63	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.31 / $1,692.99 / $8,629.99	Professional		$1,492.31	$1,692.99	$8,629.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,730.03 / $1,920.33 / $2,754.81	Professional		$1,730.03	$1,920.33	$2,754.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.38 / $1,968.33 / $3,021.97	Professional		$1,335.38	$1,968.33	$3,021.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $1,816.84 / $2,619.27	Professional		$17.60	$1,816.84	$2,619.27
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $1,588.60 / $2,576.36	Professional		$13.20	$1,588.60	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,425.00 / $1,847.62 / $2,988.10	Professional		$1,425.00	$1,847.62	$2,988.10