Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.86 / $4,396.00 / $10,300.00	Facility		$1,241.86	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.04 / $1,241.86 / $5,667.19	Professional		$1,230.04	$1,241.86	$5,667.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,317.38 / $4,559.00 / $6,006.00	Facility		$1,317.38	$4,559.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.68 / $1,411.01 / $1,886.10	Professional		$1,082.68	$1,411.01	$1,886.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.99 / $1,321.17 / $1,806.65	Professional		$939.99	$1,321.17	$1,806.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $1,223.75 / $1,829.98	Professional		$19.39	$1,223.75	$1,829.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $1,045.70 / $1,568.55	Professional		$13.20	$1,045.70	$1,568.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,182.73 / $2,819.00 / $6,471.00	Facility		$1,182.73	$2,819.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.58 / $1,311.59 / $2,049.73	Professional		$1,041.58	$1,311.59	$2,049.73