Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,753.80 / $4,396.00 / $10,300.00	Facility		$1,753.80	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.44 / $1,510.60 / $5,559.88	Professional		$1,420.44	$1,510.60	$5,559.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $12,031.62	Facility		$4,452.00	$5,379.00	$12,031.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,354.35 / $1,638.30 / $2,357.81	Professional		$1,354.35	$1,638.30	$2,357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.98 / $1,619.63 / $2,315.75	Professional		$1,161.98	$1,619.63	$2,315.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $1,470.89 / $2,145.05	Professional		$20.80	$1,470.89	$2,145.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $1,225.74 / $1,838.61	Professional		$15.60	$1,225.74	$1,838.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,407.37 / $1,675.48 / $2,458.85	Professional		$1,407.37	$1,675.48	$2,458.85