Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.69 / $4,396.00 / $10,300.00	Facility		$1,965.69	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,946.96 / $1,965.69 / $8,921.77	Professional		$1,946.96	$1,965.69	$8,921.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,829.00 / $7,046.00 / $13,100.00	Facility		$5,829.00	$7,046.00	$13,100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,709.92 / $2,304.77 / $3,080.80	Professional		$1,709.92	$2,304.77	$3,080.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,525.96 / $2,128.92 / $3,060.81	Professional		$1,525.96	$2,128.92	$3,060.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $1,975.51 / $2,842.86	Professional		$25.05	$1,975.51	$2,842.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $1,624.49 / $2,436.73	Professional		$17.04	$1,624.49	$2,436.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,819.00 / $6,471.00	Facility		$1,282.00	$2,819.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,710.43 / $2,126.04 / $3,087.76	Professional		$1,710.43	$2,126.04	$3,087.76