Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.70 / $3,959.00 / $10,300.00	Facility		$1,502.70	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.78 / $1,502.70 / $2,260.08	Professional		$1,272.78	$1,502.70	$2,260.08
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 $1,262.94 / $1,564.67 / $2,517.25	Professional		$1,262.94	$1,564.67	$2,517.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.00 / $1,641.37 / $2,554.59	Professional		$1,125.00	$1,641.37	$2,554.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $1,504.85 / $2,172.65	Professional		$20.00	$1,504.85	$2,172.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,304.53 / $1,956.80	Professional		$15.00	$1,304.53	$1,956.80
United Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $2,578.00 / $6,471.00	Facility		$776.00	$2,578.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,249.31 / $1,612.34 / $2,582.48	Professional		$1,249.31	$1,612.34	$2,582.48