Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.90 / $4,396.00 / $10,300.00	Facility		$1,138.90	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.99 / $1,138.90 / $4,473.00	Professional		$1,114.99	$1,138.90	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,162.81	Facility		$3,671.00	$5,123.00	$8,162.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.04 / $1,288.33 / $1,854.14	Professional		$1,065.04	$1,288.33	$1,854.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.66 / $1,255.10 / $1,810.83	Professional		$908.66	$1,255.10	$1,810.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $1,163.69 / $1,697.05	Professional		$17.60	$1,163.69	$1,697.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $969.74 / $1,454.61	Professional		$13.20	$969.74	$1,454.61
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 $1,056.97 / $1,306.94 / $1,928.77	Professional		$1,056.97	$1,306.94	$1,928.77