Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,951.47 / $4,396.00 / $10,300.00	Facility		$1,951.47	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.24 / $1,910.39 / $1,951.47	Professional		$1,525.24	$1,910.39	$1,951.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,996.00 / $8,455.00 / $16,907.36	Facility		$6,996.00	$8,455.00	$16,907.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,853.08 / $2,344.98 / $3,226.05	Professional		$1,853.08	$2,344.98	$3,226.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,592.61 / $2,097.01 / $3,081.27	Professional		$1,592.61	$2,097.01	$3,081.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $2,099.21 / $3,102.77	Professional		$39.20	$2,099.21	$3,102.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $1,773.01 / $2,659.52	Professional		$29.40	$1,773.01	$2,659.52
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 $1,645.83 / $2,122.55 / $3,159.02	Professional		$1,645.83	$2,122.55	$3,159.02