Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.22 / $4,396.00 / $10,300.00	Facility		$1,315.22	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,252.58 / $1,315.22 / $4,473.00	Professional		$1,252.58	$1,315.22	$4,473.00
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 $1,162.25 / $1,405.93 / $2,023.38	Professional		$1,162.25	$1,405.93	$2,023.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.86 / $1,376.12 / $1,957.09	Professional		$1,007.86	$1,376.12	$1,957.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $1,217.64 / $1,775.73	Professional		$20.00	$1,217.64	$1,775.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,014.70 / $1,522.05	Professional		$15.00	$1,014.70	$1,522.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.26 / $1,370.42 / $2,087.98	Professional		$1,146.26	$1,370.42	$2,087.98