Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.48 / $4,396.00 / $10,300.00	Facility		$1,622.48	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.03 / $1,622.48 / $7,354.86	Professional		$1,607.03	$1,622.48	$7,354.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,411.95 / $1,839.96 / $2,459.48	Professional		$1,411.95	$1,839.96	$2,459.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.75 / $1,735.06 / $2,377.79	Professional		$1,245.75	$1,735.06	$2,377.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $1,610.45 / $2,298.53	Professional		$20.29	$1,610.45	$2,298.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $1,342.04 / $2,013.06	Professional		$13.80	$1,342.04	$2,013.06
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 $1,331.08 / $1,702.95 / $2,627.11	Professional		$1,331.08	$1,702.95	$2,627.11