Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.55 / $4,396.00 / $10,300.00	Facility		$1,693.55	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.36 / $1,693.55 / $4,473.00	Professional		$1,424.36	$1,693.55	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,607.05 / $2,001.18 / $2,797.72	Professional		$1,607.05	$2,001.18	$2,797.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.74 / $3,250.74 / $3,250.74	Facility		$3,250.74	$3,250.74	$3,250.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.08 / $1,742.93 / $2,674.02	Professional		$1,374.08	$1,742.93	$2,674.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $1,838.53 / $2,842.15	Professional		$16.76	$1,838.53	$2,842.15
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,273.71 / $7,077.65 / $7,077.65	Facility		$2,273.71	$7,077.65	$7,077.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $1,558.83 / $3,410.58	Professional		$11.40	$1,558.83	$3,410.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.09 / $1,873.60 / $2,857.18	Professional		$1,443.09	$1,873.60	$2,857.18