Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.00 / $1,713.00 / $4,473.00	Facility		$1,496.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.35 / $1,235.44 / $4,473.00	Professional		$1,107.35	$1,235.44	$4,473.00
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 $1,153.93 / $1,395.86 / $2,008.89	Professional		$1,153.93	$1,395.86	$2,008.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.47 / $1,268.28 / $1,890.99	Professional		$860.47	$1,268.28	$1,890.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $1,110.49 / $1,869.25	Professional		$18.00	$1,110.49	$1,869.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $1,068.14 / $1,602.21	Professional		$13.50	$1,068.14	$1,602.21
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $1,925.00 / $4,661.00	Facility		$559.00	$1,925.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.72 / $1,316.24 / $2,058.69	Professional		$1,071.72	$1,316.24	$2,058.69