Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $4,396.00 / $10,300.00	Facility		$2,240.00	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,909.54 / $3,434.77 / $6,100.73	Professional		$2,909.54	$3,434.77	$6,100.73
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 $3,269.03 / $4,117.37 / $5,691.09	Professional		$3,269.03	$4,117.37	$5,691.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,802.03 / $3,660.59 / $5,423.32	Professional		$2,802.03	$3,660.59	$5,423.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $3,701.79 / $5,244.28	Professional		$44.00	$3,701.79	$5,244.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $3,106.25 / $4,659.38	Professional		$33.00	$3,106.25	$4,659.38
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 $2,977.88 / $3,814.80 / $5,817.45	Professional		$2,977.88	$3,814.80	$5,817.45