Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.14 / $4,396.00 / $10,300.00	Facility		$1,870.14	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.96 / $1,870.14 / $3,959.00	Professional		$1,575.96	$1,870.14	$3,959.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,776.18 / $2,190.40 / $3,092.16	Professional		$1,776.18	$2,190.40	$3,092.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,467.17 / $1,467.17	Facility		$1,467.17	$1,467.17	$1,467.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,475.54 / $1,924.98 / $2,952.85	Professional		$1,475.54	$1,924.98	$2,952.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $2,009.72 / $2,879.83	Professional		$26.46	$2,009.72	$2,879.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.94 / $3,584.18 / $3,584.18	Facility		$1,545.94	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $1,725.18 / $2,558.64	Professional		$18.00	$1,725.18	$2,558.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,476.61 / $1,915.13 / $3,027.74	Professional		$1,476.61	$1,915.13	$3,027.74