Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $4,396.00 / $10,300.00	Facility		$2,240.00	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,497.71 / $2,521.73 / $11,358.30	Professional		$2,497.71	$2,521.73	$11,358.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,218.00	Facility		$4,452.00	$5,379.00	$8,218.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,675.48 / $2,495.59 / $3,650.16	Professional		$1,675.48	$2,495.59	$3,650.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.08 / $1,993.07 / $3,482.40	Professional		$1,258.08	$1,993.07	$3,482.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $2,312.54 / $3,349.94	Professional		$27.34	$2,312.54	$3,349.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $1,984.21 / $2,976.32	Professional		$18.60	$1,984.21	$2,976.32
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 $1,250.06 / $2,416.05 / $3,933.20	Professional		$1,250.06	$2,416.05	$3,933.20